| NPI | 1255609905 |
|---|---|
| Doing Business As | RAVENSWOOD PHARMACY INC. |
| Entity Type | Organization |
| Authorized Contact | SAMEH ATTIA PIC 773-612-2517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054017816) |
| Additional Taxonomies | 333600000X Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2012-03-16 |