| NPI | 1043494859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A TRYGGESTAD Director Of Pharmacy 715-268-0670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251F00000X Home Infusion (Licence: WI 8785) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2011-02-25 |