| NPI | 1285625681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL HUIBREGTSE Managing Member 414-433-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: WI 8373042) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2023-03-07 |