| NPI | 1063446524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA H RICKEY Manager, Co Owner 309-693-3013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 054013307) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |