| NPI | 1518039692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE MCKNIGHT Pharmacist 309-582-2112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054007812) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |