| NPI | 1780858647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENIFER PENA Manager 847-579-0093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054016421) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2018-04-18 |