| NPI | 1639875354 |
|---|---|
| Doing Business As | COMMUNITY MEDICAL CENTERS GRANT LINE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE NOGUERA CEO 220-373-2831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2023-02-03 |