| NPI | 1285025346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN SAMUEL Pharmacist/Owner 815-968-5779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054006670) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |