| NPI | 1225085350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DOUBEK Owner 708-293-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054003401) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2013-04-09 |