| NPI | 1174664395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT SUNNER President 309-762-0971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054.008409) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2023-03-07 |