| NPI | 1174077408 |
|---|---|
| Doing Business As | MEDIPHARM DISCOUNT PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | ROURKE SMITH President 312-810-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 4492) |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-10-19 |