| NPI | 1366565962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEMANGINI THAKER President 815-725-1102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IL 058013571) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2022-11-07 |