Healthcare Provider Details

I. General information

NPI: 1104969872
Provider Name (Legal Business Name): NO FRILLS PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 09/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7646 DODGE ST
OMAHA NE
68114-3635
US

IV. Provider business mailing address

6232 N 104TH ST ATTN MIKE AKSAMIT
OMAHA NE
68134-1012
US

V. Phone/Fax

Practice location:
  • Phone: 402-392-0371
  • Fax: 402-392-0975
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number2617
License Number StateNE

VIII. Authorized Official

Name: MIKE AKSAMIT
Title or Position: PRESIDENT
Credential: PHARM D RP MBA
Phone: 402-657-1793