Organization
MEDCENTRIX INC
Active
Other names
ingalls prof pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD J RUTKOWSKI RPH (PHARMACY MANAGER)
(708) 333-5388
Entity
Organization
Contact information
Practice address
71 W 156TH ST, SUITE #104, HARVEY, IL 60426-4260
(708) 333-5388
(708) 915-2095
Mailing address
71 W 156TH ST, SUITE #104, HARVEY, IL 60426-4260
(708) 333-5388
(708) 915-2095
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
054009589
IL
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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