NPI | 1639191281 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK ROGOWIN Owner 773-381-4630 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: IL 054013806) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2006-07-24 |
Last Update Date | 2020-08-22 |