| NPI | 1184721615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MAILE Director Of Pharmacy 262-387-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: WI 8282042) |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2020-08-22 |