| NPI | 1235519455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY JO GRINNELL Finance Vice President Wi Region 608-260-3586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2025-02-07 |