| NPI | 1710305008 |
|---|---|
| Doing Business As | ANTILLAS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MAHENDRA KHATAU Owner 773-722-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IL 054018567) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |