NPI | 1902475981 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN BOHMER Secretary 224-231-1833 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2021-06-23 |
Last Update Date | 2024-04-12 |