| NPI | 1275032732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP EDWARD THOMAS R Ph/Owner 630-213-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IL 054009023) |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2020-02-20 |