| NPI | 1326385220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GENE JOHNSON Pharmacist/Owner 715-539-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 9185-42) |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2013-06-13 |