NPI | 1346291499 |
---|---|
Doing Business As | FORUM EXTENDED CARE SVC INC II |
Entity Type | Organization |
Authorized Contact | BRIAN KRAMER President 847-673-8727 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IL 054017240) |
Additional Taxonomies | 333600000X Pharmacy (Licence: IN 64001297A) |
3336C0004X Pharmacy, Compounding Pharmacy | |
3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
3336I0012X Pharmacy, Institutional Pharmacy (Licence: WI 1204-43) | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2006-05-13 |
Last Update Date | 2021-04-22 |