| NPI | 1841208493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS M FRUIN General Manager 312-791-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: IL 054013771) |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2022-01-17 |