| NPI | 1801127386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE W. MONROE President 414-352-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: WI 21799020) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-03-30 |