| NPI | 1245559301 |
|---|---|
| Doing Business As | GOOD VALUE PHARMACY MEDCARE WEST |
| Entity Type | Organization |
| Authorized Contact | ALEX BERCE President, Pharmacist 262-925-0201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 9007-42) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2017-04-04 |