Organization
KOHLLS PHARMACY & HOMECARE INC
Active
Other names
Kohlls Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID GEOFFREY KOHLL PHARM. D. (PRESIDENT/OWNER)
(402) 895-6812
Entity
Organization
Contact information
Practice address
620 N 114TH ST, OMAHA, NE 68154-1571
(402) 408-0012
(402) 408-0020
Mailing address
12759 Q ST, OMAHA, NE 68137-3211
(402) 895-6812
(402) 895-7655
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2239
NE
Other
Enumeration date
01/11/2007
Last updated
02/10/2012
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