| NPI | 1639232390 |
|---|---|
| Doing Business As | KINGSWAY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RICHMOND G NIMAKO-BOATENG President 630-236-9502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054015027) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 054015027) |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: IL 054015027) | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-12-17 |
| Last Update Date | 2010-09-09 |