| NPI | 1346787124 |
|---|---|
| Doing Business As | CLINICA LATINA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALEXANDER SHISTER President 414-333-2478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WI 9441-42) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-02-23 |