NPI | 1790838100 |
---|---|
Doing Business As | SEGRETI PHARMACY |
Entity Type | Organization |
Authorized Contact | KENNETH BERTINI Pharmacy Manager Owner 708-383-6757 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 051028708) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2008-06-18 |