| NPI | 1518083138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON KUTRIEB President 312-287-7345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: SD 100-1842) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |