| NPI | 1457634057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JITENDRA K DHRUVA Pharmacist 847-673-8063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 051032542) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |