NPI | 1871683045 |
---|---|
Doing Business As | WEST BEND PHARMACY |
Entity Type | Organization |
Authorized Contact | DOUGLAS BERRY President 262-338-6444 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 879242) |
Enumeration Date | 2006-10-16 |
Last Update Date | 2010-11-23 |