| NPI | 1962564583 |
|---|---|
| Doing Business As | DBA SWAN SERV - U PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JAMES WALSH President 414-640-7129 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 5343-42) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 5343) |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2010-09-03 |