| NPI | 1912190554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BADGLEY Senior Vice President 847-315-3012 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MA 3558) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2022-03-11 |