| 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 |