| NPI | 1235519455 |
|---|---|
| Doing Business As | AGNESIAN PRESCRIPTION CENTER HEALTH PLAZA |
| Entity Type | Organization |
| Authorized Contact | NANCY HYLAND Director Retail Pharmacy Servi 920-926-8723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 8107-42) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2021-08-18 |