| NPI | 1912091745 |
|---|---|
| Doing Business As | MERCER COUNTY HOSPITAL OUTPATIENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TIM PUTNAM CEO 309-582-5301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 093013445) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-07-08 |