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Organization

KUBAT PHARMACY, LLC

Active
Find providers by NPI
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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