| NPI | 1487667903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY A GEHRKE President 715-339-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 5671042) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-02-10 |