| NPI | 1902990179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY D RICE Vice President Pharmacy Services 414-874-6217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: WI 9028-042) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-02-14 |