| NPI | 1770594277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN DAWKINS Dir Of Pharmacy Ops 618-842-2611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 059002953) |
| Additional Taxonomies | 3336I0012X Pharmacy, Institutional Pharmacy |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |