| NPI | 1447482658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASHANT PATEL President 847-490-3995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y006800) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy (Licence: IA 4646) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054016716) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2016010546) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 1643-43) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SD 400-1561) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 265001) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ND Phar1300) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 64002100A) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: CO OSP.0006779) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: GA PHNR001013) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2020-08-25 |