| NPI | 1891010724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMA ALZEIN President 708-955-4933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: IL 054-016816) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054-016816) | |
| 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: IL 054-016816) | |
| Enumeration Date | 2010-04-03 |
| Last Update Date | 2012-06-20 |