| NPI | 1073822326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM EUGENE NELSON Owner/Pharmacist 815-875-4415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054000044) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2010-10-05 |