| NPI | 1104524065 |
|---|---|
| Doing Business As | EAST TROY PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | KEITH A WITT Owner/Manager 262-642-3510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-02-27 |