| NPI | 1487205944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASHIM ZAIBAK Pharmacist 414-712-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2024-03-25 |