| NPI | 1205924024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM PUTNAM CEO 309-582-5301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: IL 059004570) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |