Organization
KUBAT HEALTH CARE OF NORFOLK, LLC
Active
Parent organization
PERCIPIO KP HOLDINGS, LLC
Other names
Kubat HealthCare
Organization subpart
Yes
Provider details
NPI number
Legal business name
PERCIPIO KP HOLDINGS, LLC
Authorized official
BRIAN DANIEL (CHIEF OPERATING OFFICER)
(402) 315-1944
Entity
Organization
Contact information
Practice address
120 N 27TH ST STE 100, NORFOLK, NE 68701-3286
(531) 301-6660
(402) 371-3566
Mailing address
124 N 27TH ST, STE 100, NORFOLK, NE 68701-3286
(402) 371-3444
(402) 371-3566
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026883100
—
NE
Enumeration date
07/06/2021
Last updated
09/22/2021
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