| NPI | 1407932536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY RUFENACHT Pharmacist 608-845-0447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: WI 8247-42) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2021-10-25 |