| NPI | 1851464481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY M YANG SVP & Chief Financial Officer 715-847-2526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: WI 188) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2024-06-12 |