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 |