| NPI | 1215628169 |
|---|---|
| Doing Business As | LOYOLA PHARMACY AT TINLEY PARK |
| Entity Type | Organization |
| Authorized Contact | NEIL GUPTA Chief Medical Officer 708-216-0464 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2023-09-22 |