| NPI | 1548496409 |
|---|---|
| Doing Business As | ESSENTIAL WELLNESS PHARMACY 2 |
| Entity Type | Organization |
| Authorized Contact | WILLIAM KALMAN President 309-635-1340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054018933) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2016-08-04 |