| NPI | 1487296737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE SADE ISIEKWENE Managing Pharmacist 773-432-5594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2020-01-22 |