| NPI | 1871959247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASSEL JOUDEH Pharmacist In Charge 708-774-9944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051289499) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |