| NPI | 1598930752 |
|---|---|
| Doing Business As | INGALLS PRO PHARM 4 |
| Entity Type | Organization |
| Authorized Contact | RONALD J RUTKOWSKI Pharmacy Manager 708-589-2019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054016131) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |