NPI | 1720416845 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN BOHMER Secretary 224-231-1833 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: LA PHY006771RC) |
Enumeration Date | 2013-10-29 |
Last Update Date | 2024-01-24 |