| NPI | 1992007926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J BETTIGA Executive Vice President And COO 920-429-4297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2010-12-13 |