| NPI | 1801521273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN FERREE Pharmacist In Charge 309-750-1827 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2022-07-20 |