| NPI | 1497071823 |
|---|---|
| Doing Business As | MARIANOS FRESH MARKET PHARMACY |
| Entity Type | Organization |
| Authorized Contact | EDWARD KITZ G VP Legal Risk & Treasury 414-231-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054-017351) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2013-03-25 |