| NPI | 1083977326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERMIT R CRAWFORD President 847-315-3154 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2012-06-27 |