| NPI | 1205981081 |
|---|---|
| Doing Business As | JACKSON PARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PURVIN TAJPURIA Owner 773-947-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054019617) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2016-06-06 |