| NPI | 1154475986 |
|---|---|
| Doing Business As | CLYDE CHOATE MENTAL HEALTH DEVELOPMENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | CATHERINE ONSTOTT Pharmacy Manager 618-202-6708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IL 054017322) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2022-12-07 |