NPI | 1356722045 |
---|---|
Doing Business As | CENTER FOR ADVANCED CARE PHARMACY |
Entity Type | Organization |
Authorized Contact | KEVIN PERHACH Business Manager 414-805-6531 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 9309-42) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0002X Pharmacy, Clinic Pharmacy | |
Enumeration Date | 2015-06-18 |
Last Update Date | 2017-11-21 |