| NPI | 1578587606 |
|---|---|
| Doing Business As | CASS STREET PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KENNETH FORD Owner 608-784-9922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WI 8293-42) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2016-05-10 |