| NPI | 1437490836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANKIT PATEL Owner/Pharmacist 224-436-9052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: IL 054018262) |
| Enumeration Date | 2013-03-09 |
| Last Update Date | 2017-03-06 |