| NPI | 1972525970 |
|---|---|
| Doing Business As | HOME CARE PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | KELLY MUELLER Pharmacy Manager 618-463-7425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IL 054017172) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2012-10-01 |