NPI | 1578109161 |
---|---|
Entity Type | Organization |
Authorized Contact | NAN NELSON SVP Of Financial Operations 414-299-1659 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2019-11-19 |
Last Update Date | 2021-04-06 |