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General NPI Number Information
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NPI Number | 1326963562
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Entity Type | Organization
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Legal Business Name | KUBAT PHARMACY, LLC
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 701 W TOWNLINE ST STE D
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City | CRESTON
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State | IA
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Zip | 50801-1100
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Country | US
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Telephone | 402-558-1192
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Fax |
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Provider Business Mailing Address
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Address Line | 3206 S 71ST ST
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City | OMAHA
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State | NE
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Zip | 68106-3507
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Country | US
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Telephone | 402-315-1945
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Fax |
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Authorized Official
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Title or Position | SR DIRECTOR OF PATIENT OPERATIONS
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Name | JENNIFER LUNDSTROM
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Credential |
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Telephone | 402-558-1192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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