| NPI | 1669020590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE DRIZD Exec Dir Fh Pharmacy Solutions 262-532-5168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2023-01-16 |