NPI | 1407932536 |
---|---|
Doing Business As | ST MARYS CARE CENTER PHARMACY |
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 |