| NPI | 1851797310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASHANT PATEL President 773-993-0235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: IL 054018859) |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2014-11-11 |