| NPI | 1750697645 |
|---|---|
| Doing Business As | IBP PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NATASHA BANKS President 708-552-7683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60006224A) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-09-10 |