NPI | 1790838084 |
---|---|
Doing Business As | GLATFELTER FAMILY PHARMACY #12957 |
Entity Type | Organization |
Authorized Contact | ALAN T NIELSEN Treasurer 847-315-3523 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: OH 020963500) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy Community/Retail Pharmacy | |
Enumeration Date | 2007-01-19 |
Last Update Date | 2016-01-13 |