| NPI | 1679634497 |
|---|---|
| Doing Business As | GSK PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | PRAVIN KHATRI President 773-287-1078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054.012049) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2015-11-09 |