| NPI | 1114004538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD FOX Exec Mang 847-673-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 05411305) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-04-20 |