| NPI | 1609981653 |
|---|---|
| Doing Business As | YOUNG'S LONG TERM CARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | FORREST YOUNG Owner 715-842-0370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: WI 9061-042) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: WI 9061-042) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2014-08-04 |