| NPI | 1396959938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA STEFANI President 815-875-1237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 54014933) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2013-08-08 |