| NPI | 1922646579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R MCCANN Owner, Managing Pharmacist 608-716-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2020-05-20 |