| NPI | 1699861617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM FLETT CFO 920-454-4013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: WI 7196-042) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2024-01-02 |