ATHLETE PHARMACIST LLC

MADISON, WI
NPI1649520008
Entity TypeOrganization
Authorized ContactMARK V LORSON
CEO
414-207-0309
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center Multi-Specialty
Additional Taxonomies261QP0905X Clinic/Center Public Health, State or Local
Enumeration Date2012-09-13
Last Update Date2012-09-13
Business Address
ATHLETE PHARMACIST LLC
211 NAUTILUS DR APT 8
MADISON, WI 53705-4358
Phone number: 414-207-0309
Mailing Address
ATHLETE PHARMACIST LLC
211 NAUTILUS DR APT 8
MADISON, WI 53705-4358
Phone number: 414-207-0309