Organization
HOLY FAMILY MEMORIAL, INC
Active
Other names
Holy Family Memorial Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARLENE M. WIEGAND PHARMACIST (DIRECTOR OF PHARMACY)
(920) 320-2274
Entity
Organization
Contact information
Practice address
2300 WESTERN AVE, MANITOWOC, WI 54220-3712
(920) 320-2273
(920) 320-3578
Mailing address
2300 WESTERN AVE, MANITOWOC, WI 54220-3712
(920) 320-2273
(920) 320-3578
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
3205-042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5112228
NABP
WI
Enumeration date
04/09/2007
Last updated
06/16/2015
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