| NPI | 1114065976 |
|---|---|
| Doing Business As | KORLE BU PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PRASHANT PATEL Pharmicist In Charge 847-858-4776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IL 54016112) |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2010-03-24 |