| NPI | 1801837315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA J KERSTEN Pharmacist In Charge 312-739-1186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: IL 054015354) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2023-03-07 |