| NPI | 1467625988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J. WHITE President 262-656-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: WI NZ038) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-07-24 |