| NPI | 1417531153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A. CHERNEY Pharmacist In Charge 708-728-5052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2021-05-13 |