Organization
MIDLAND VET SERVICES LLC
Active
Other names
Midland Vet Services Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN KENKEL (PHARMACIST-IN-CHARGE)
(402) 650-0185
Entity
Organization
Contact information
Practice address
11722 STONEGATE CIR, OMAHA, NE 68164-3692
(402) 330-9483
(866) 420-1589
Mailing address
11722 STONEGATE CIR, OMAHA, NE 68164-3692
(402) 330-9483
(866) 420-1589
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2980
NE
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160325
PK
—
Enumeration date
05/25/2016
Last updated
06/02/2016
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