| NPI | 1952745937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE KATHLEEN GRIFFIN Delegated Official 312-567-5593 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2017-07-13 |