Provider Demographics
NPI:1619622362
Name:KUBAT PHARMACY ASHLAND, LLC
Entity Type:Organization
Organization Name:KUBAT PHARMACY ASHLAND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP PHARMACY OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:531-233-4455
Mailing Address - Street 1:1401 SILVER ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68003-1845
Mailing Address - Country:US
Mailing Address - Phone:402-944-3303
Mailing Address - Fax:402-944-9413
Practice Address - Street 1:1401 SILVER ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:NE
Practice Address - Zip Code:68003-1845
Practice Address - Country:US
Practice Address - Phone:402-944-3303
Practice Address - Fax:402-944-9413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-21
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy