Organization
BLAIR WEST PHARMACY
Active
Organization
BLAIR WEST PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COMSTOCK (OWNER)
(402) 426-3700
Entity
Organization
Contact information
Practice address
1844 WASHINGTON ST, BLAIR, NE 68008-1562
(402) 426-3700
(402) 426-3668
Mailing address
1844 WASHINGTON ST, BLAIR, NE 68008-1562
(402) 426-3700
(402) 426-3668
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
8054
NE
3336C0003X
Community/Retail Pharmacy
Primary
8054
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47053525500
—
NE
Enumeration date
10/02/2006
Last updated
11/08/2007
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