| NPI | 1467723759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS D WELDAY CFO 847-570-5099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy (Licence: IL 054.017806) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2020-09-18 |