| NPI | 1245249614 |
|---|---|
| Former Legal Business Name | BOHLMAN DRUG STORE, INC |
| Entity Type | Organization |
| Authorized Contact | MICHELLE E. FARRELL Pharmacist, Owner 608-375-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 6474-042) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: WI 6474-042) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: WI 6474-042) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: WI 6474-042) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-02-17 |