| NPI | 1407265598 |
|---|---|
| Doing Business As | MODERN APOTHECARY |
| Entity Type | Organization |
| Authorized Contact | ERIN E MERRITT Owner 262-997-9573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WI 9274-42) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2024-01-31 |