Organization
KEITHS DRIVE IN DRUGS INC
Active
Other names
KEITHS MEDICAL PARK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA JEAN GOLLNER PHARM D R.P. (PRESIDENT)
(402) 462-6101
Entity
Organization
Contact information
Practice address
2115 N KANSAS AVE, HASTINGS, NE 68901-2640
(402) 463-0515
(402) 463-5254
Mailing address
2115 N KANSAS AVE, SUITE 101, HASTINGS, NE 68901-2640
(402) 463-0515
(402) 463-5254
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2153
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2054225
PK
—
Enumeration date
08/31/2006
Last updated
09/28/2022
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