NPI | 1316157423 |
---|---|
Entity Type | Organization |
Authorized Contact | PERRY D ADAMS Pharmacist In Charge 773-821-4646 |
Organization Subpart ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: IL 054011579) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2009-12-16 |