| NPI | 1972695278 |
|---|---|
| Other Name | NORTHEAST FAMILY PRACTICE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALAN KAPLAN CEO 608-263-7013 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WI 8035) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2023-03-07 |