| NPI | 1366582421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHAVANA A SHAH In Charge Pharmacist 773-542-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051034198) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |