| NPI | 1063573467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAGGA R GRANDHI Incharge Pharmacist 847-336-3455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051034034) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |