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Organization

KUBAT PHARMACY, 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
350 W 23RD ST, FREMONT, NE 68025-2592
(402) 727-4004
Mailing address
350 W 23RD ST, FREMONT, NE 68025-2592
(402) 727-4004

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
12/02/2021
Last updated
02/23/2023
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