Organization
IMAGEMOVERMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN HOULIHAN (CEO)
(608) 445-0789
Entity
Organization
Contact information
Practice address
25 W MAIN ST STE 500, MADISON, WI 53703-3329
(608) 620-4980
Mailing address
2858 UNIVERSITY AVE # 265, MADISON, WI 53705-3644
(608) 620-4980
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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