| NPI | 1043997182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM BREEZE Officer Of The Corporation 618-244-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-06-30 |