| NPI | 1194183517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAHEER PATEL Pharmacist In Charge 773-654-3658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IL 054019665) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2017-03-24 |