Organization · NPI-2

Midwest Medication Advisory LLC

Pharmacy, Community/Retail Pharmacy · Fremont, NE

NPI number1275483299
StatusActive
Last updated in NPPESJan 29, 2026

Details

NPI
1275483299
Entity type
Organization (NPI-2)
Legal business name
Midwest Medication Advisory LLC
Organization subpart
No
Enumeration date
Jan 29, 2026
Certification date
Jan 29, 2026
Last updated
Jan 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes

Practice location

1145 Ohio St
Fremont, NE 68025-2127

Phone 402-601-6565

Mailing address

1145 Ohio St
Fremont, NE 68025-2127

Phone 402-601-6565

Authorized official

Kodjovi Hoenou
Pharmacist
4026016565

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