| NPI | 1639188006 |
|---|---|
| Doing Business As | MEDIPARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DIANE L MCGREW President 309-655-2850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054009376) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2021-08-31 |