| NPI | 1760927057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANI ABDALLAH Owner, AO, Phcy Manager, PIC 708-307-7839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054020144) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2017-03-23 |