| NPI | 1457023772 |
|---|---|
| Doing Business As | THEDACARE APOTHECARY-OSP |
| Entity Type | Organization |
| Authorized Contact | WILLIAM FLETT CFO 920-454-4013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2024-01-02 |