NPI | 1932609278 |
---|---|
Doing Business As | ANDES LONG TERM CARE |
Entity Type | Organization |
Authorized Contact | GARRETT ANDES Owner 217-342-9393 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IL 054014035) |
Enumeration Date | 2018-02-13 |
Last Update Date | 2022-01-31 |