NPI | 1689744286 |
---|---|
Doing Business As | GOOD VALUE PHARMACY LTC |
Entity Type | Organization |
Authorized Contact | ALEX BERCE President 262-658-8124 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: WI 9012-042) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2024-11-11 |