Pmcjk LLC
Compounding Pharmacy · Omaha, NE
Practice location
620 N 114TH StOmaha, NE 68154-1571
- Phone
- (402) 408-0015
- Fax
- (402) 408-0020
NPI record
- NPI
- 1902445414
- Entity type
- Organization (Type 2)
- Enumeration date
- December 31, 2019
- Last updated
- December 31, 2019
- Certified
- December 31, 2019
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Compounding Pharmacy Primary | 3336C0004X |
— | — |
Mailing address
16705 Ontario PLZOmaha, NE 68130-2131
- Phone
- (402) 306-6503
Authorized official
- Name
- Justin M Kohll
- Title
- President
- Phone
- (402) 306-6503
Other names
- Preventative Medical Clinic Pharmacy
About Pmcjk LLC
Pmcjk LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Compounding Pharmacy (code 3336C0004X). The practice location is 620 N 114TH St, Omaha, NE 68154-1571. The NPI number 1902445414 was assigned on December 31, 2019 and the record was last updated on December 31, 2019.
The authorized official for this organization is Justin M Kohll, President.
Frequently asked questions
What is the NPI number of Pmcjk LLC?
The NPI number is 1902445414.
What is the phone number of Pmcjk LLC?
The phone number listed for the practice location is (402) 408-0015.
Where is Pmcjk LLC located?
620 N 114TH St, Omaha, NE 68154-1571.
What is the taxonomy code for Pmcjk LLC?
The primary taxonomy code is 3336C0004X – Compounding Pharmacy.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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