NPI | 1124038666 |
---|---|
Doing Business As | FREDRICKSON PHARMACY |
Entity Type | Organization |
Authorized Contact | SHANTILAL T CHHADWA President 708-253-7110 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: IL 054015277) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2020-08-22 |