Good Harvest Market
NPI #1548529332 in Pewaukee, Wisconsin
Provider Information
- NPI Number
- 1548529332
- Entity Type
- Organization
- Organization Name
- Good Harvest Market
- Primary Specialty
- Medical Foods Supplier
- Enumeration Date
- May 14, 2012
- Last Updated
- May 14, 2012
Practice Location
Authorized Official
- Name
- BECKY FAMULARO
- Title
- BOOKKEEPER
- Phone
- (262) 544-9380
Specialties & Taxonomy Codes
| Specialty |
|---|
| Medical Foods Supplier |
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