NPI: 1851327639 · LAKE GENEVA, WI 53147 · Community/Retail Pharmacy · NPI assigned 06/24/2006
| Authorized Official | JANCZAK, DON (DIRECTOR OF PHARMACY) |
| Parent Organization | MERCY HEALTH SYSTEM |
| NPI Enumeration Date | 06/24/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 20 | $457.08 |
| 2020 | 36 | $921.15 |
| 2021 | 15 | $0.00 |
| 2022 | 28 | $371.50 |