NPI | 1083782155 |
---|---|
Other Name | ACTIVECARE NETWORK |
Entity Type | Organization |
Authorized Contact | JUDI ANN GRUPP Chief Executive Officer 847-267-9400 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2006-11-30 |
Last Update Date | 2007-08-29 |