Organization
KOHLLS PHARMACY & HOMECARE INC
Active
Other names
Kohlls Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID G KOHLL (OWNER)
(402) 895-6812
Entity
Organization
Contact information
Practice address
2923 LEAVENWORTH ST, OMAHA, NE 68105-2739
(402) 342-6547
(402) 341-5207
Mailing address
12759 Q ST, OMAHA, NE 68137-3211
(402) 895-6812
(402) 895-7655
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
2234
NE
Other
Enumeration date
08/22/2005
Last updated
01/23/2009
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