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Organization

ARBORPHARM, LLC

Active
Other names
Arbor State Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEREMY LEE WALTKE RP (MANAGING MEMBER)
(402) 871-7076
Entity
Organization

Contact information

Practice address
203 S 7TH ST, STE B, WYMORE, NE 68466
(402) 645-3080
(402) 645-3081
Mailing address
PO BOX 23, WYMORE, NE 68466-0023
(402) 645-3080
(402) 645-3081

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
560
NE

Other

Enumeration date
03/13/2014
Last updated
03/13/2014
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