| NPI | 1528002375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN SOUNHEIN Pharmacist Supervisor 847-381-1230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: IL 54010043) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2025-09-11 |