NPI | 1750534772 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN BOHMER Secretary 224-231-1833 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: OH CLPH021910700) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH CLPH021910700) |
333600000X Pharmacy (Licence: OH CLPH021910700) | |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2008-11-04 |
Last Update Date | 2024-01-17 |