NPI | 1952686032 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN BOHMER Secretary 224-231-1833 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: FL PH25710) |
Enumeration Date | 2011-10-20 |
Last Update Date | 2024-01-18 |