| NPI | 1386785152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN WITT Pharmacy Manager Interim 708-233-5382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: IL 054014173) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2025-06-16 |