| NPI | 1841468428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY R PANTEL Patient Financial Services Supervis 920-803-3266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WI 8808) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-03-28 |