| NPI | 1932328242 |
|---|---|
| Doing Business As | STOWE DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | DENNIS LARSON President And Pharmacist 920-336-6128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 6162042) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-09-12 |