NPI | 1538252184 |
---|---|
Doing Business As | ASCENSION RX 2700 |
Entity Type | Organization |
Authorized Contact | EDGAR DEM AUF DEM GRABEN Pharmacy Manager 847-581-0800 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IL 054017075) | |
Enumeration Date | 2006-10-02 |
Last Update Date | 2022-04-18 |