| NPI | 1407213697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RANZINI Pharmacist 815-464-3562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 051.299157) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |