| NPI | 1700636271 |
|---|---|
| Doing Business As | PRIME PLUS LAKEVIEW |
| Entity Type | Organization |
| Authorized Contact | INAS DAHABRA Member, President 708-289-6721 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-10-02 |