| NPI | 1023190816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY PAETSCH President 773-586-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054009014) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2018-04-26 |