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 |