| NPI | 1598950214 |
|---|---|
| Doing Business As | PAMIDA PHARMACY 866 |
| Entity Type | Organization |
| Authorized Contact | MIKE BETTIGA Excutive Vice President & COO 920-429-4297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2012-05-23 |