NPI | 1164170692 |
---|---|
Doing Business As | WELLCREEK PHARMACY MIDDLETON |
Entity Type | Organization |
Authorized Contact | JEFFREY DAVID ZIETLOW R Ph 608-203-8090 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2022-03-14 |
Last Update Date | 2023-09-22 |