Organization
KUBAT PHARMACY, LLC
Active
Parent organization
PERCIPIO KP HOLDINGS, LLC
Other names
Kubat HealthCare, Kubat Pharmacy, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PERCIPIO KP HOLDINGS, LLC
Authorized official
MR. BRIAN PAUL DANIEL (CHIEF OPERATING OFFICER)
(402) 315-1944
Entity
Organization
Contact information
Practice address
2401 N ST, OMAHA, NE 68107-2708
(402) 731-4333
(402) 734-8824
Mailing address
4924 CENTER ST, OMAHA, NE 68106-3219
(402) 558-8888
(402) 558-7388
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025435200
—
NE
01
—
2817318
NCPDP
—
Enumeration date
08/30/2006
Last updated
06/03/2021
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