| NPI | 1487101754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A PEARSON CEO 414-727-5750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WI 9421-42) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2016-09-05 |
| Last Update Date | 2023-03-07 |