NPI | 1902371107 |
---|---|
Doing Business As | LINEVILLE HEALTH MART PHARMACY |
Entity Type | Organization |
Authorized Contact | CHERYL ANN ZAMBROWICZ President 920-434-1444 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2018-10-04 |
Last Update Date | 2018-10-04 |