Wahoo Man LLC

NPI #1932982501 in Wahoo, Nebraska

Provider Information

NPI Number: 1932982501
Entity Type: Organization
Organization Name: Wahoo Man LLC
Primary Specialty: Pharmacy - Long Term Care Pharmacy
Enumeration Date: Aug 16, 2023
Last Updated: Aug 16, 2023

Practice Location

Address: 526 N LINDEN ST
City: Wahoo
State: Nebraska
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	Taxonomy Code	Primary
Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy	3336L0003X	Primary

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