| NPI | 1619052172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINA SAID CEO 262-241-4522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 10629-040) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2025-03-03 |