| NPI | 1891144986 |
|---|---|
| Doing Business As | CENTERVILLE LTC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RUTUL SHAH CEO 312-391-6845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: OH PSNH.022586600-) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2019-07-26 |