NPI | 1891706396 |
---|---|
Doing Business As | HAYEKS SHOREWOOD PHARMACY |
Entity Type | Organization |
Authorized Contact | WILLIAM QUANDT Owner 414-332-8870 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 4184-42) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2006-08-10 |
Last Update Date | 2016-04-25 |