NPI | 1306102728 |
---|---|
Doing Business As | PROPHARM RX INC |
Entity Type | Organization |
Authorized Contact | MAURICE SULLIVAN Sec/Tres 217-839-2909 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2012-04-10 |
Last Update Date | 2012-04-11 |