| NPI | 1972385565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYNE JUSTICE President 847-490-3995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 251F00000X Home Infusion |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2024-02-22 |