NPI | 1487970034 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN BOHMER Secretary 224-231-1833 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PH24564) |
Enumeration Date | 2010-04-07 |
Last Update Date | 2024-01-25 |