| NPI | 1164534004 |
|---|---|
| Doing Business As | 47TH STREET PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RICHARD CHAGOYA Owner Pharmacist 773-847-6160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054015508) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-10-29 |