NPI | 1487171054 |
---|---|
Doing Business As | IGNACE INDIAN HEALTH PHARMACY |
Entity Type | Organization |
Authorized Contact | GEORGETTE K LUCEY-DURRANI Pharmacy Director 414-316-5000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: WI 9467) |
Enumeration Date | 2017-08-24 |
Last Update Date | 2022-07-21 |