| NPI | 1407108426 |
|---|---|
| Doing Business As | NEENAH HOMETOWN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DIANE DEANS Contracting Specialist 920-992-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 9175-42) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2021-12-10 |