| NPI | 1710083092 |
|---|---|
| Doing Business As | ASCENSION RX 2300 |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BORN Director 815-592-9705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: MI 5301008342) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2024-01-09 |