| NPI | 1053413948 |
|---|---|
| Doing Business As | EAU CLAIRE HEALTH MART PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY E LEVIN Sec/Treas 715-833-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2015-07-28 |