NPI | 1558604504 |
---|---|
Doing Business As | THE PHARMACY OF DU PAGE MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | PAUL MERRICK Chairman Of The Board 630-790-1221 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054018228) |
Additional Taxonomies | 333600000X Pharmacy (Licence: IL 054018228) |
3336C0002X Pharmacy, Clinic Pharmacy (Licence: IL 054018228) | |
3336S0011X Pharmacy, Specialty Pharmacy (Licence: IL 054018228) | |
Enumeration Date | 2013-03-28 |
Last Update Date | 2023-10-06 |