Organization · NPI-2

Kubat Pharmacy, LLC

Pharmacy, Community/Retail Pharmacy · Fremont, NE

NPI number1891453247
StatusActive
Last updated in NPPESFeb 23, 2023

Details

NPI
1891453247
Entity type
Organization (NPI-2)
Legal business name
Kubat Pharmacy, LLC
Organization subpart
Yes
Enumeration date
Dec 2, 2021
Certification date
Feb 23, 2023
Last updated
Feb 23, 2023

Taxonomy and licenses

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

Other names

  • Kubat Healthcare (Doing Business As)

Practice location

350 W 23rd St
Fremont, NE 68025-2592

Phone 402-727-4004

Mailing address

350 W 23rd St
Fremont, NE 68025-2592

Phone 402-727-4004

Authorized official

Brian Daniel
Chief Operating Officer
4023151944

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