| NPI | 1912057027 |
|---|---|
| Doing Business As | INGALLS PROFESSIONAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JULIE WITVOET Pharmacy Manager 708-915-4306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054009589) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2014-03-19 |