KOHLL'S PHARMACY & HOMECARE INC NPI 1740599893

NPI Information

KOHLL'S PHARMACY & HOMECARE INC is a family nurse practitioner in Omaha, NE. KOHLL'S PHARMACY & HOMECARE INC NPI is 1740599893. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Preventative Medical Clinic.

The provider's business location address is:

12741 Q ST
OMAHA, NE
ZIP 68137-211
Phone: (402) 895-6812
Fax: (402) 895-7655

The provider's authorized official is Justin M Kohll .
The authorized official title is Owner and has the following contact phone number (402) 108-0012.

The enumeration date for this NPI number is 10/6/2010 and was last updated on 1/12/2011.

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:

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