| NPI | 1518564053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRUTIKA PATEL Member 630-267-6742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |