| NPI | 1215237359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL PAUL DUNCAN Operations Manager 309-828-6979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: IL 054-017559) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2022-03-16 |