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Organization

DONIPHAN PHARMACY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT ALAN KIRKEGAARD PHARM.D. (OWNER/PHARMACIST-IN-CGARGE)
(402) 462-4600
Entity
Organization

Contact information

Practice address
2011 WEST CLARICE, DONIPHAN, NE 68832
(402) 462-4600
Mailing address
2011 W CLARICE ST, DONIPHAN, NE 68832-8701
(402) 462-4600

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Enumeration date
06/03/2016
Last updated
06/03/2016
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