| NPI | 1093238552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE KLIS Vice President 847-559-4873 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy | |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2017-07-17 |