| NPI | 1174736292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERMIT R CRAWFORD President 847-315-3193 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336M0003X Pharmacy, Managed Care Organization Pharmacy |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2011-08-30 |