| NPI | 1285635094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERMAN WHITE Reg Pharmacist And VP 773-374-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 051032504) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2011-05-23 |