NPI | 1912092826 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN BOHMER Secretary 224-231-1833 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IN 60006030A) |
3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60006030A) | |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 60006030A) | |
333600000X Pharmacy | |
Enumeration Date | 2006-10-04 |
Last Update Date | 2024-01-19 |