| NPI | 1811078652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE BEYER Owner 414-232-4103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WI 7063042) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2025-12-19 |