NPI | 1366507485 |
---|---|
Doing Business As | ST ELIZABETHS HOSPITAL OUTPATIENT PHARMACY |
Entity Type | Organization |
Authorized Contact | MARK D EVARD VP Of Revenue Cycle 217-492-9651 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054017328 051040885) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2024-10-31 |