| NPI | 1871581926 |
|---|---|
| Doing Business As | FAWCETT'S PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DEENA D. CHIRKINA Owner/Pharm D/PIC 815-872-3251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054019824) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2024-12-05 |