Wahoo Man LLC

NPI #1063089050 in Wahoo, Nebraska

Provider Information

NPI Number
1063089050
Entity Type
Organization
Organization Name
Wahoo Man LLC
Subpart
Yes (part of a larger organization)
Parent Organization
BP INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jun 8, 2021
Last Updated
Jun 8, 2021

Practice Location

Address
526 N LINDEN ST
City
Wahoo
ZIP Code
68066-1961
Phone
(402) 443-4167

Authorized Official

Name
JED LEWIS, PHARMD
Title
VICE PRESIDENT
Phone
(402) 652-3217

Specialties & Taxonomy Codes

Specialty
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy
Pharmacy - Specialty PharmacySpecialty Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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