NPI | 1649343864 |
---|---|
Entity Type | Organization |
Authorized Contact | GAIL PARTLOW Practice Administrator 847-585-7050 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054014868) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2018-10-11 |