| 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 |