Organization
AME
Active
Other names
CAMPBELL DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN KICKEN (PIC)
(402) 525-1539
Entity
Organization
Contact information
Practice address
311 MAIN ST, OSHKOSH, NE 69154-6112
(308) 772-3333
(308) 772-0126
Mailing address
311 MAIN ST, OSHKOSH, NE 69154-6112
(308) 772-3333
(308) 772-0126
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2922
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134192
PK
—
05
—
39198427300
—
NE
Enumeration date
06/23/2005
Last updated
09/16/2014
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