| NPI | 1437261377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHENDRA KHATAU Owner 773-722-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: IL 54014820) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |