| NPI | 1477645646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WAYNE FLANNERY CFO 608-265-7131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WI 8518) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2023-03-07 |