NPI | 1326154238 |
---|---|
Doing Business As | FAMILY CARE PHARMACY AT ALTON MEMORIAL HOSPITAL |
Entity Type | Organization |
Authorized Contact | DAVID BRAASCH President 618-463-7301 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054011644) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-08-22 |
Last Update Date | 2021-03-22 |