| NPI | 1205854866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN GRANT Pharmacy Director 708-633-4437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: IL AJ4100171) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |