| NPI | 1720109275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHAL SHAH Staff Pharmacist 773-252-6852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: IL 54015505) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-04-20 |