NPI | 1023205226 |
---|---|
Doing Business As | SENIORMED PHARMACY |
Entity Type | Organization |
Authorized Contact | KERMIT R CRAWFORD Sr Vice President 847-914-3154 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336I0012X Pharmacy, Institutional Pharmacy | |
333600000X Pharmacy (Licence: FL PH23017) | |
Enumeration Date | 2007-10-02 |
Last Update Date | 2007-12-10 |