Organization
WAHOO MAN LLC
Active
Other names
Medicine Man Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JED LEWIS PHARMD (VICE PRESIDENT)
(402) 652-3217
Entity
Organization
Contact information
Practice address
526 N LINDEN ST, WAHOO, NE 68066-1961
(402) 443-4167
(402) 496-9788
Mailing address
526 N LINDEN ST, WAHOO, NE 68066-1961
(402) 443-4167
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
About Stedi
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