| NPI | 1306494620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN PERHACH Business Manager 262-532-5163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2022-09-02 |