| NPI | 1043398563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LEE SILVA Staff Pharmacist 217-791-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: OH 03-3-14347) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |