| NPI | 1881977767 |
|---|---|
| Doing Business As | ASCENSION RX 2301 |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BORN Director 815-592-9705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2024-01-09 |