| NPI | 1184789844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFZAL SIDDIQUI Pharmacist 773-994-7762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051-041000) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054-017812) |
| 183500000X Pharmacist (Licence: IL 051034263) | |
| Enumeration Date | 2006-12-23 |
| Last Update Date | 2013-03-21 |