| NPI | 1477665180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA L JONES PIC/Owner 708-926-5870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054007001) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 054007001) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-04-30 |