| 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 |