| NPI | 1881711935 |
|---|---|
| Doing Business As | CEDAR LAKE PAHRMACY-DME |
| Entity Type | Organization |
| Authorized Contact | CHRIS CHERNEY CFO 262-306-4212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WI 5115503) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |