| NPI | 1659425577 |
|---|---|
| Doing Business As | MINI THUONG XA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NAM PHAM President 773-230-2699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054009321) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2015-12-17 |