Organization
PONIDAY LLC
Active
Organization
PONIDAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM ERVIN (OFFICE MANAGER)
(308) 697-3400
Entity
Organization
Contact information
Practice address
624 PATTERSON ST, CAMBRIDGE, NE 69022
(308) 697-3400
(308) 697-3401
Mailing address
624 PATTERSON ST, PO BOX 117, CAMBRIDGE, NE 69022
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2586
NE
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2816253
OTHER ID NUMBER
—
Enumeration date
07/05/2006
Last updated
12/17/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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