NPI | 1730655747 |
---|---|
Entity Type | Organization |
Authorized Contact | DEREK BROWN Vice President Of Pharmacy 630-981-8150 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
Enumeration Date | 2018-10-17 |
Last Update Date | 2025-01-20 |