NPI | 1588082127 |
---|---|
Doing Business As | BOLINGBROOK COMPOUNDING PHARMACY |
Entity Type | Organization |
Authorized Contact | JOHN SINGLETARY Owner/Pharmacist 630-759-6464 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: IL 054005594) |
Enumeration Date | 2014-04-01 |
Last Update Date | 2014-04-01 |