| NPI | 1497299762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS BRIESKE Owner 608-386-9039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 943642) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |