NPI | 1912416991 |
---|---|
Entity Type | Organization |
Authorized Contact | HALEY STOCKS Contracting COO Rdinator 920-992-6800 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2017-09-22 |
Last Update Date | 2021-12-20 |