| NPI | 1174021778 |
|---|---|
| Doing Business As | GOOD VALUE PHARMACY RACINE |
| Entity Type | Organization |
| Authorized Contact | ALEX BERCE President 262-658-8124 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 9494-42) |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2018-01-29 |