NPI | 1073628020 |
---|---|
Doing Business As | YOUNG'S DRUG STORE |
Entity Type | Organization |
Authorized Contact | FORREST YOUNG Owner 715-842-0370 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 8995-42) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-08-20 |
Last Update Date | 2014-08-04 |