| NPI | 1679683718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARDHA CHENNA Secretary 708-671-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-04-22 |