| NPI | 1205845898 |
|---|---|
| Doing Business As | SOUTH SUBURBAN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARCEL JEAN Owner 708-798-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054.015826) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| 3336I0012X Pharmacy, Institutional Pharmacy | |
| 3336M0003X Pharmacy, Managed Care Organization Pharmacy | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2016-07-12 |