| NPI | 1376272559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY M YANG SVP & Chief Financial Officer 715-847-2526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2024-06-10 |