| NPI | 1528219300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH DOUGLAS CEO 815-404-4871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MI 5301009007) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2022-06-28 |