NPI | 1356726400 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN BOHMER Secretary 224-231-1833 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: TN 0000005682) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
3336C0003X Pharmacy Community/Retail Pharmacy | |
Enumeration Date | 2015-07-29 |
Last Update Date | 2024-01-19 |