| NPI | 1215149703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED T TRIMUEL Chief Pharmacist 773-238-8680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 0054003648) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |