Organization
MEDCENTRIX INC
Active
Other names
ingalls pro pharm 4
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD J RUTKOWSKI RPH (PHARMACY MANAGER)
(708) 589-2019
Entity
Organization
Contact information
Practice address
31 W 155TH ST, HARVEY, IL 60426-3556
(708) 589-2019
(708) 589-2080
Mailing address
31 W 155TH ST, HARVEY, IL 60426-3556
(708) 589-2019
(708) 589-2080
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054016131
IL
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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