NPI | 1679918403 |
---|---|
Doing Business As | CONVEX PHARMACY |
Entity Type | Organization |
Authorized Contact | MARYAM ALRAZZAQ President / Owner 708-460-4930 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: IL 054.018565) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2013-05-07 |
Last Update Date | 2021-02-12 |