| NPI | 1770758930 |
|---|---|
| Doing Business As | INGALLS PROF PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RONALD J RUTKOWSKI Pharmacy Manager 708-333-5388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: IL 054009589) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |