MAYER DRUG INC
3535 30th Ave Ste 103
Kenosha, WI 53144
262-658-8124
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | WI | 8019-42 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 5102392 | OTHER | |
3305290033069300 | WI | MEDICAID |