| NPI | 1891882080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JACOBS Chief Pharmacist 847-674-5882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: IL 54009433) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-10-07 |
| Last Update Date | 2009-10-28 |