| NPI | 1972926244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA FEFERMAN Secretary 847-845-2180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2014-07-10 |