| NPI | 1447345640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FLINT Owner 608-310-9922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: WI 9503-42) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2018-06-07 |