| NPI | 1518171313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEMENT THAKER President 815-267-3253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054016196) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-08-01 |