| NPI | 1538609292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MUGURDUMOVA CEO 262-581-0411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-04-11 |