| NPI | 1912944844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY DIORIO Vice President 815-834-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054-011989) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: IL 054-011989) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-08-22 |