| NPI | 1740365782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK J EGAN Third Party COO Rdinator 708-957-2974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IL 054-11906) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2012-11-16 |