| NPI | 1003509019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY FIELDS Chief Pharmacy Officer 414-223-6874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2024-04-08 |