| NPI | 1114052073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHARAT V PATEL Pharmacist Incharge 773-342-5878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 054014043) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: IL 054-014043) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2011-04-26 |