NPI | 1467001396 |
---|---|
Doing Business As | LIL'S DIETARY SPECIALTY SHOP |
Entity Type | Organization |
Authorized Contact | MARCIE HARVEY President 773-239-0355 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2019-09-04 |
Last Update Date | 2019-09-04 |