Organization
ELKHORN RX INC
Active
Other names
ELKHORN DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE JANSSEN (OWNER)
(402) 289-2576
Entity
Organization
Contact information
Practice address
20330 VETERANS DR, ELKHORN, NE 68022-6929
(402) 289-2576
(402) 289-2540
Mailing address
PO BOX 880, ELKHORN, NE 68022-0880
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
277
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025449800
—
NE
01
—
2815857
OTHER ID NUMBER
—
Enumeration date
11/03/2006
Last updated
12/04/2007
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