NPI | 1124033758 |
---|---|
Doing Business As | MARSHLAND PHARMACY |
Entity Type | Organization |
Authorized Contact | JOHN SUTTER Co Owner/Pharm Mgr 920-356-0040 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WI 8546042) |
Additional Taxonomies | 333600000X Pharmacy |
3336L0003X Pharmacy Long Term Care Pharmacy | |
Enumeration Date | 2006-07-30 |
Last Update Date | 2014-09-15 |