| NPI | 1982741039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY M YANG SVP & Chief Financial Officer 715-847-2526 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2024-06-13 |