| NPI | 1366417917 |
|---|---|
| Doing Business As | AGNESIAN PHARMACY WAUPUN |
| Entity Type | Organization |
| Authorized Contact | NANCY HYLAND Director Retail Pharmacies 920-926-8723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WI 905642) |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2016-06-20 |