| NPI | 1114200938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZHANNA LACROIX Pharmacy Manager 847-767-3875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 051288387) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |