| NPI | 1083090575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO ALPIZAR President 773-944-0525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: IL 054-019426) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 054-019426) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054-019426) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: IL 054-019426) | |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-08-06 |