NPI | 1801883608 |
---|---|
Doing Business As | MADISON PINE PHARMACY |
Entity Type | Organization |
Authorized Contact | TILAK MARWAHA President 773-379-7773 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 540014342) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0002X Pharmacy, Clinic Pharmacy | |
Enumeration Date | 2005-10-05 |
Last Update Date | 2014-03-19 |