| NPI | 1740972058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYNE JUSTICE Vice President 847-490-3995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-05-24 |