OrganizationActive
Good Harvest Market
NPI 1548529332 · Medical Foods Supplier · Pewaukee, WI
Provider details
- NPI number
- 1548529332
- Entity type
- Organization
- Primary specialty
- Medical Foods SupplierSuppliers
- Authorized official
- Becky Famularo, Bookkeeper
Mailing address
1850 Meadow Lane
Pewaukee, WI 53072
Registry dates
- Enumerated
- 2012-05-14
- Last updated
- 2012-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.