| NPI | 1255462156 |
|---|---|
| Doing Business As | DHS CENTRAL OUTPATIENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARK KATAUSKI Dir Of Phrm 217-786-6982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: IL 054014602) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2009-02-11 |