| NPI | 1003698820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON FAUST VP, Specialty Pharmacy 608-310-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-10-17 |