| NPI | 1962477588 |
|---|---|
| Doing Business As | AGNESIAN PHARMACY PLUS |
| Entity Type | Organization |
| Authorized Contact | NANCY HYLAND Director Retail Pharmacies 920-926-8723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 8107-42) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2016-06-20 |