NPI | 1366582421 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY SHAH Pharmacist In Charge/Owner 773-542-9595 |
Organization Subpart ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051034198) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2007-02-07 |
Last Update Date | 2024-11-19 |