| NPI | 1962265769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL STEPHEN VILLALUZ Owner/Managing Pharmacist 312-545-3805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-04-09 |