| NPI | 1386002145 |
|---|---|
| Doing Business As | MARIANOS PHARMACY #8536 |
| Entity Type | Organization |
| Authorized Contact | EDWARD KITZ Group VP Legal Risk & Treasury 414-231-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |