| NPI | 1316789878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAY HERNING KUE Owner 262-723-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-06-06 |