| NPI | 1083169841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLINE JOSEPH Pharmacist 773-470-9831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 051299772) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |