| NPI | 1437692217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA GARZA Manager 217-709-2364 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2024-06-20 |