| NPI | 1538202692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMLESH SHAH Pharmacist In Charge 773-826-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: IL 054009858) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-04-20 |