| NPI | 1124127667 |
|---|---|
| Doing Business As | CAMP DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | KEVIN L HENDRICK President 618-254-6223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 054034394) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 054034394) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2012-09-11 |