| NPI | 1205103025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD RAYMOND KASPER Pharmacy Manager 773-434-3621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: IL 051-026562) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2011-11-22 |