| NPI | 1144598194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVERETTE REDWELL Phamacy Manager 773-238-2289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.293635) |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2011-12-06 |