| NPI | 1477587699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA OLIDEN Billing Supervisor 414-329-5552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: WI 8113) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2008-12-09 |