| NPI | 1619071628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT E HOFF Pharmacist 262-542-4488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 4015-042) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2013-06-19 |