Ethan Milton Klein PHARM.D.

NPI 1215244694 - Pharmacist - 183500000X

NPI Details
NPI 1215244694
Gender Male
Enumeration Date 09/08/2010
Last Updated 09/08/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
3001 GREEN BAY RD
PHARMACY 119
NORTH CHICAGO IL, 60064-3048, US
Phone (800) 393-0865
Fax
Business Location
3001 GREEN BAY RD
PHARMACY 119
NORTH CHICAGO IL, 60064-3048, US
Phone
Fax
Toxanomy
Taxonomy Code 183500000X
License State Illinois
License Number 051294502
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According to our database, Ethan Milton Klein PHARM.D. NPI is 1215244694, taxonomy code is 183500000X and license number is 051294502, license state is located at Illinois. Ethan Milton Klein PHARM.D. physically located at 3001 Green Bay Rd, North Chicago IL, 60064-3048. NPI Number Ethan Milton Klein PHARM.D. has the Individual type.

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1215244694 NPI number is provided on an as is basis without warranty of any kind. 1215244694 is maintained by the National Plan & Provider Enumeration System. The contents of Ethan Milton Klein PHARM.D. are for informational purposes only.