NPI | 1497837009 |
---|---|
Doing Business As | IVAN T MATTHEI PHARMACY |
Entity Type | Organization |
Authorized Contact | MARK EDELHEIT Owner 312-263-7194 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054013583) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2010-03-09 |