NPI | 1932213923 |
---|---|
Doing Business As | COMMUNITY CARE INC PHARMACY |
Entity Type | Organization |
Authorized Contact | KENNETH MUNSON CEO 414-231-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 3336M0003X Pharmacy, Managed Care Organization Pharmacy (Licence: WI 8638-42) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2006-08-18 |
Last Update Date | 2019-10-24 |