| NPI | 1174322846 |
|---|---|
| Other Name | NOBLE COMMUNITY CLINICS RDS WAUTOMA |
| Entity Type | Organization |
| Authorized Contact | KELLEN DORFF Director Of Pharmacy 920-647-8984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2025-06-17 |