| NPI | 1619361912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTYNA KHOPTA Pharmacy Manager/Pharmacist 630-893-5171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 051297137) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |