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KOHLLS PHARMACY & HOMECARE INC NPI 1689666950


NPI Information

NPI: 1689666950
Provider Name: KOHLLS PHARMACY & HOMECARE INC

Doing Business As: KOHLLS PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1413 S WASHINGTON ST
PAPILLION, NE
ZIP 68046
Phone: (402) 331-8632
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KOHLLS PHARMACY & HOMECARE INC is a pharmacy in Papillion, NE. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. KOHLLS PHARMACY & HOMECARE INC NPI is 1689666950. The provider is registered as an organization entity type.
The provider Is Doing Business As Kohlls Pharmacy.

The provider's business location address is:

1413 S WASHINGTON ST
PAPILLION, NE
ZIP 68046-178
Phone: (402) 331-8632
Fax: (402) 331-8695

The provider's authorized official is David G Kohll .
The authorized official title is Owner and has the following contact phone number (402) 895-6812.

The enumeration date for this NPI number is 8/22/2005 and was last updated on 2/15/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesEIN=========No
2333600000XPharmacy2232NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10233100008MEDICARE ID-TYPE UNSPECIFIED
2=========06MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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