| NPI | 1346251840 |
|---|---|
| Doing Business As | GHC SAUK TRAILS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LAURIE FLAGEL DEAN Operation COO Rdinator 608-828-4811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0003X Pharmacy, Managed Care Organization Pharmacy (Licence: WI 7386-42) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2016-09-30 |