| NPI | 1245986694 |
|---|---|
| Doing Business As | PROMEDICA SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BRYAN COEHRS Director Of Pharmacy 567-585-3041 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-04-04 |