| NPI | 1912242629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN ASBERRY RANDOLPH President 708-596-8910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: IL 304006793) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |