NPI | 1891148318 |
---|---|
Doing Business As | SKYWALK PHARMACY WEST ALLIS |
Entity Type | Organization |
Authorized Contact | MARC CADIEUX Corporate VP/CFO 414-266-6226 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 9416-42) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2016-07-20 |
Last Update Date | 2019-09-25 |