| NPI | 1447783915 |
|---|---|
| Doing Business As | BIENESTAR PHARMACY III, INC |
| Entity Type | Organization |
| Authorized Contact | AKIL GHOGHAWALA President 773-924-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: IL 054020244) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |