NPI | 1871673079 |
---|---|
Doing Business As | PROFESSIONAL OFFICE BUILDING PHARMACY |
Entity Type | Organization |
Authorized Contact | WAYNE KEATHLEY President 312-942-2852 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 54011624) |
Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
Enumeration Date | 2006-10-16 |
Last Update Date | 2023-02-04 |