| NPI | 1942589445 |
|---|---|
| Doing Business As | SURETY PRO PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | GARY P. OLSZEWSKI Vice President Pharmacy 414-433-0188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: WI 9083-42) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2016-10-24 |