| NPI | 1578842811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BINITA PATEL Assistant Director, Pharmacy 414-805-6512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WI 9081042) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2015-03-09 |