| NPI | 1164472304 |
|---|---|
| Doing Business As | ALTAMONT PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | DOUG PHILLIPS President 618-483-5614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054008775) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IL 054008775) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2016-08-08 |