| NPI | 1861792129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD J MINGOLELLI President 708-798-8112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 320009946) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |