NPI | 1437450236 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILIP TORF Compliance Officer 847-674-2600 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IL 054-017573) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
3336C0004X Pharmacy, Compounding Pharmacy | |
3336M0002X Pharmacy, Mail Order Pharmacy | |
Enumeration Date | 2010-11-10 |
Last Update Date | 2017-12-20 |