| NPI | 1245059161 |
|---|---|
| Doing Business As | ASCENSION RX 2400 |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BORN Pharmacy Director 815-592-9705 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-08 |