NPI | 1891740288 |
---|---|
Doing Business As | QUEENS PHARMACY |
Entity Type | Organization |
Authorized Contact | HOWARD BLEICHMAN Owner 773-622-2331 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054011325) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 054011325) |
Enumeration Date | 2006-05-23 |
Last Update Date | 2008-04-09 |