NPI | 1821028887 |
---|---|
Doing Business As | MARTIN LUTHER KING HERITAGE HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | TITO L IZARD President/Chief Executive Officer 414-372-8080 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: WI 8681-42) |
Enumeration Date | 2006-07-04 |
Last Update Date | 2015-08-07 |