NPI | 1518064351 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN BOHMER Secretary 224-231-1833 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PH22137) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2024-01-29 |