| NPI | 1396185278 |
|---|---|
| Doing Business As | FHHP SUSSEX |
| Entity Type | Organization |
| Authorized Contact | MELISSA BREITENSTEIN Contracting Specialist 920-992-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 9207-42) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2014-07-02 |