NPI | 1124039771 |
---|---|
Doing Business As | CUDAHY CLINIC SERV U PHCY |
Entity Type | Organization |
Authorized Contact | PETER TOPOLOVICH Owner 414-769-6150 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 6574042) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-08-10 |
Last Update Date | 2007-10-16 |