| NPI | 1235144387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERMIT R CRAWFORD Corporate Vice President 847-914-3154 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WI 6990) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2008-07-15 |