NPI | 1811416639 |
---|---|
Doing Business As | F & MCW DREXEL TOWN SQUARE PHARMACY |
Entity Type | Organization |
Authorized Contact | KEVIN PERHACH Business Manager 262-532-5163 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 9462-42) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2017-09-13 |
Last Update Date | 2018-07-19 |