| NPI | 1740604214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED S KHAN CFO 630-400-1074 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 051293453) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: IL 051293453) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |