| NPI | 1992847735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL ORDWAY STONE President And Owner 262-782-0460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 5269-042) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-03-17 |