| NPI | 1750438362 |
|---|---|
| Doing Business As | WAYFAIR PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER D ELLIOTT Patient Account Specialist 618-847-8244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IL 1471476) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2008-02-26 |