| NPI | 1700973997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SHARIF Pharmacy Director 773-227-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IL 054.012040) |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-10-07 |
| Last Update Date | 2016-12-18 |