| NPI | 1134918394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON T EDWARDS Chief Financial Officer 715-387-5823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-05-05 |