NPI | 1033120688 |
---|---|
Doing Business As | FORD PHARMACY |
Entity Type | Organization |
Authorized Contact | WILLIAM SMITH Co Owner 920-738-4105 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: WI 8575042) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2006-08-10 |
Last Update Date | 2020-08-22 |