| NPI | 1144087008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN DOW VP, Chief Pharmacy Officer 414-805-1519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |