| NPI | 1558606327 |
|---|---|
| Doing Business As | COUNTY MARKET PHARMACY 225 |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER NIEMANN EVP/CFO 217-221-5615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054.018139) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2021-09-27 |