| NPI | 1124989181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER WASIF CEO 217-240-2174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2025-11-19 |
| Last Update Date | 2025-11-19 |