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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
12739 Q ST, OMAHA, NE 68137-3211
(402) 895-3101
(402) 895-3155
Mailing address
12759 Q ST, OMAHA, NE 68137-3211
(402) 895-6812
(402) 895-7655

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
2574
NE
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
333600000X
Pharmacy
2574
NE
3336C0003X
Community/Retail Pharmacy
2574
NE

Other

Enumeration date
08/22/2005
Last updated
04/12/2012
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