Organization
ARBORPHARM, LLC
Active
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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