| NPI | 1487829990 |
|---|---|
| Doing Business As | INGALLS PRO PHARM LL |
| Entity Type | Organization |
| Authorized Contact | RONALD J. RUTKOWSKI Pharmacy Manager 708-915-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054015155) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |