| NPI | 1457385775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORNA PRYOR PIC 312-572-4888 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: IL 054013985) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2018-05-31 |