NPI | 1053491357 |
---|---|
Doing Business As | RIVERBEND SERV-U PHARMACY |
Entity Type | Organization |
Authorized Contact | DANIEL ERIC SASS Owner 414-327-1150 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WI 6666) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2010-08-25 |