NPI | 1851551048 |
---|---|
Entity Type | Organization |
Authorized Contact | J B TATE President 708-283-2511 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: IL 004.002239) |
Enumeration Date | 2008-06-11 |
Last Update Date | 2008-06-11 |