| NPI | 1487029351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH C FLYNN Pharmacist 414-224-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: WI 17087-40) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2015-12-03 |