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 |