| NPI | 1235666835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON EGBUNA Secretary 773-454-3392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2022-07-21 |