| NPI | 1023674595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA M BODLEY Medical Billing Office Maanager 773-737-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |