| NPI | 1366582421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY SHAH Pharmacist In Charge 773-542-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051034198) |
| 333600000X Pharmacy | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2025-05-08 |