| NPI | 1093878217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSVALDO FELICIANO Owner Chief Pharmacist 773-486-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054005550) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2011-05-13 |