| NPI | 1083973507 |
|---|---|
| Doing Business As | OMNI PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALEXANDER SHISTER President 414-737-9585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 9121-42) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2016-12-01 |