| NPI | 1518116219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRITKUMAR PATEL Manager Rph In Charge 773-853-2374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054016489) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2017-12-22 |