| NPI | 1548394851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DESCHLER Pharmacy Manager 217-353-4033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 054011966) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |