| NPI | 1770695611 |
|---|---|
| Doing Business As | INFANT JESUS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | EDWARD GIN President 773-379-7548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054014423) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-11-22 |