NPI | 1619417979 |
---|---|
Doing Business As | THE NEW ROSELAND OUTPATIENT PHARMACY |
Entity Type | Organization |
Authorized Contact | MARLO KEMP CFO, AO 773-995-6502 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054020279) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2017-03-06 |
Last Update Date | 2017-05-26 |