NPI | 1003662636 |
---|---|
Entity Type | Organization |
Authorized Contact | VIRGINIA GARZA Director Ar Central 217-709-2364 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy Community/Retail Pharmacy | |
Enumeration Date | 2024-04-25 |
Last Update Date | 2024-04-25 |