| NPI | 1396959441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J GALLERY Pharmacy Manager 773-753-8655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: IL 051034430) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2023-03-07 |