| NPI | 1003253774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAEL OGUNLEYE Pharmacist 267-297-5279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA pp482383) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |