| NPI | 1124005517 |
|---|---|
| Doing Business As | GOTTLIEB PROFESSIONAL BUILDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ADENRELE ADEKUNBI KOLAWOLE Director Billing Operations 708-216-3743 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: IL 054008713) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2020-11-16 |