| NPI | 1154800969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR JOHN AWERKAMP Director Of Pharmacy 217-221-5615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2021-09-27 |