| NPI | 1639460736 |
|---|---|
| Doing Business As | MERCY MALL LTC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOAN SHADEL Director Of Retail Services 608-755-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: WI 9068) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2011-10-12 |