| NPI | 1922676386 |
|---|---|
| Doing Business As | UWC-CRYSTAL LAKE |
| Entity Type | Organization |
| Authorized Contact | ERIN SMITH Pharmacy Director 816-304-1933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2023-08-17 |