NPI | 1013035781 |
---|---|
Doing Business As | FANTUS HEALTH CENTER PHARMACY |
Entity Type | Organization |
Authorized Contact | JOHN BUSKER Assistant Director Of Pharmacy 312-864-2194 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: IL 054014914) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2016-04-25 |