| NPI | 1164576906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER RATLIFF Director Of Pharmacy 217-786-0203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2018-12-19 |