| NPI | 1356863252 |
|---|---|
| Doing Business As | UVANTA PHARMACY - FOX VALLEY |
| Entity Type | Organization |
| Authorized Contact | STEVEN MARCUS President, Pharmacist 920-739-6104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: WI 9466-42) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2018-05-14 |