NPI | 1043278229 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN BOHMER Secretary 224-231-1833 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: RI PHA00361) |
Additional Taxonomies | 333600000X Pharmacy |
332B00000X Durable Medical Equipment & Medical Supplies | |
3336I0012X Pharmacy, Institutional Pharmacy | |
Enumeration Date | 2006-05-03 |
Last Update Date | 2024-01-26 |