| NPI | 1477603793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM HERBERT Director Of Pharmacy 608-267-6167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 8360042) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-09-12 |