NPI | 1689661795 |
---|---|
Other Name | METHODIST PHARMACY @ ALLEN ROAD |
Entity Type | Organization |
Authorized Contact | BARBARA ANN BARNEWOLT Pharmacist In Charge 309-683-8885 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: IL 051-028094) |
Enumeration Date | 2005-10-04 |
Last Update Date | 2018-08-17 |