| NPI | 1255491551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEHAD SALAH Pharmacist In Charge 708-598-7227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: IL 054014994) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-10 |
| Last Update Date | 2020-08-22 |