| NPI | 1134464332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG WASSON CEO 847-940-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PS49550) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |