Organization
MEDCENTRIX INC
Active
Other names
ingalls pro pharm 3
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD J RUTKOWSKI RPH (PHARMACY MANAGER)
(708) 915-8453
Entity
Organization
Contact information
Practice address
19550 GOVERNORS HWY, FLOSSMOOR, IL 60422-2125
(708) 915-8453
(708) 915-8579
Mailing address
19550 GOVERNORS HWY, FLOSSMOOR, IL 60422-2125
(708) 915-8453
(708) 915-8579
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054015549
IL
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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