| NPI | 1043221625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BENAIN CEO 708-449-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: TN 3121) |
| 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: VA 0214001104) | |
| 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: NC 12081) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2022-05-28 |