| NPI | 1841626785 |
|---|---|
| Doing Business As | GOOD VALUE PHARMACY LARSEN-MAYER |
| Entity Type | Organization |
| Authorized Contact | ALEX C BERCE Pharmacist 262-658-8124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 9225-42) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2017-03-15 |