NPI | 1215965611 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL RECKASE Chief Executive Officer 608-775-8500 |
Organization Subpart ? | No |
Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: WI 8773-042) |
Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
Enumeration Date | 2006-06-28 |
Last Update Date | 2023-03-07 |