| NPI | 1972658631 |
|---|---|
| Other Name | ST. JOSEPH'S PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PAMELA K DEWITT CFO 608-489-8103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 282E00000X (Licence: WI 6139) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2011-07-22 |