| NPI | 1356639504 |
|---|---|
| Doing Business As | SHEBOYGAN HEALTH MART PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CAMALA JORSTAD R Ph 920-254-7270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 9088-42) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2016-04-05 |