NPI | 1497292692 |
---|---|
Doing Business As | MARIANOS PHARMACY #8541 |
Entity Type | Organization |
Authorized Contact | WILLIAM DOWLING Vice President 414-231-5000 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2017-01-25 |
Last Update Date | 2017-01-25 |