| NPI | 1063237063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW HOCHRADEL Managing Pharmacist 414-351-4009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2025-01-28 |