| NPI | 1245325323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM PIERCE Medical Director/Officer 217-366-1270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL BC8731374) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-12-15 |