| NPI | 1376384560 |
|---|---|
| Doing Business As | PROMISE HEALTHCARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER HENRY CEO 217-403-5401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-06-03 |