NPI | 1912001967 |
---|---|
Doing Business As | BOLINGBROOK PHARMACY INC |
Entity Type | Organization |
Authorized Contact | JOHN SINGLETARY Rph/Owner 630-759-6464 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: IL 054005594) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-09-12 |
Last Update Date | 2017-01-18 |