| NPI | 1437206588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SNEHAL BHAVSAR Pharmacy Manager 312-791-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IL 054015048) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2021-02-10 |