| 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 |