| NPI | 1629351077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADLENA KOROL President 847-459-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054-017721) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 054-017721) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IL 054-017721) | |
| 333600000X Pharmacy (Licence: IL 054-07721) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: IL 054-07721) | |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2024-03-01 |