| NPI | 1326457565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERUL MEHTA Pharmacy Manager 630-543-0988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2016-01-12 |