NPI | 1578914040 |
---|---|
Doing Business As | CENTERVILLE LTC PHARMACY |
Entity Type | Organization |
Authorized Contact | RUTUL SHAH Principal 312-391-6845 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: OH PSNH.022586600-) |
Enumeration Date | 2016-06-27 |
Last Update Date | 2016-06-27 |