WAHOO MAN LLC
Specialty Pharmacy
Wahoo, Nebraska
Provider NPI: 1063089050
Organization Information:Organization Name: WAHOO MAN LLC
Practice Location:
526 N LINDEN ST WAHOO, NE 68066 US
Tel: 402-443-4167 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
526 N LINDEN ST WAHOO, NE 68066 US
Tel: 402-443-4167 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336L0003X | Suppliers Pharmacy Long Term Care Pharmacy | ||
N | 3336S0011X | Suppliers Pharmacy | ||
Y | 3336C0003X | Suppliers Pharmacy |