| NPI | 1780734103 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DENISE L SCARPELLI Executive Director Of Ambulatory Rx 773-834-5601  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 333600000X Pharmacy (Licence: IL 054017383)  | 
| Enumeration Date | 2007-01-10 | 
| Last Update Date | 2021-03-17 |