| NPI | 1053322552 |
|---|---|
| Doing Business As | PETERSONS PRESCRIPTION PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM ELICH President 708-868-5020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054010011) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2012-08-31 |