| NPI | 1952442568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN O'DWYER President 630-892-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: IL 013884) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: IL 13884) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |