| NPI | 1245999663 |
|---|---|
| Doing Business As | UWC- CRYSTAL LAKE |
| Entity Type | Organization |
| Authorized Contact | ERIN SMITH Pharmacy Director 816-304-1933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2023-08-17 |