NPI | 1467515080 |
---|---|
Doing Business As | THE PHARMACY STOP MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | JOHN GROESBECK President 815-434-5355 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054016665) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2006-12-18 |
Last Update Date | 2009-11-20 |