| NPI | 1174145031 |
|---|---|
| Doing Business As | AGNESIAN PHARMACY WAUPUN |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SPENCER System VP Pharmacy Services 920-926-6011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2023-06-07 |