| NPI | 1922164458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL DOUGLAS CFO 815-935-7256 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: IL 980844) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2008-04-28 |