| NPI | 1407186141 |
|---|---|
| Other Name | CMH PRIMARY CARE CLINIC, REMOTE DISPENSING REGISTRATION |
| Entity Type | Organization |
| Authorized Contact | JASON E KNOX Pharmacy Manager 920-846-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2023-03-07 |