NPI | 1376564633 |
---|---|
Doing Business As | HUMMAS DRUG STORE |
Entity Type | Organization |
Authorized Contact | DAVID MARTIN Pharmacist 618-524-4111 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054008447) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-07-22 |
Last Update Date | 2010-03-09 |