| NPI | 1407815061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM M. MARTIN President 309-828-2242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054002430) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: IL 054002430) |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IL 054002430) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2024-07-02 |