NPI | 1346541729 |
---|---|
Doing Business As | CPTL HOME PHARMACY, INC. |
Entity Type | Organization |
Authorized Contact | EVANGELINE COOPER President 312-262-4520 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054017577) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2010-11-16 |
Last Update Date | 2010-12-28 |