| NPI | 1316697436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JO MACKNISKAS Senior Director, Reimbursement 773-213-0776 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2022-03-24 |