| NPI | 1013366970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER E. ATOMAH Pharmacy Manager 773-420-1561 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: IL 054019899) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |