Peter Bonaminio I BS RPH

NPI 1053692285 - Pharmacist - 183500000X

NPI Details
NPI 1053692285
Gender Male
Enumeration Date 09/01/2011
Last Updated 09/01/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
14680 S LA GRANGE RD
ORLAND PARK IL, 60462-2510, US
Phone (708) 460-2021
Fax (708) 460-2974
Business Location
14680 S LA GRANGE RD
ORLAND PARK IL, 60462-2510, US
Phone (708) 460-2021
Fax (708) 460-2974
Toxanomy
Taxonomy Code 183500000X
License State Illinois
License Number 051038114
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According to our database, Mr. Peter Bonaminio I BS RPH NPI is 1053692285, taxonomy code is 183500000X and license number is 051038114, license state is located at Illinois. Peter Bonaminio I BS RPH physically located at 14680 S La Grange Rd, Orland Park IL, 60462-2510. NPI Number Peter Bonaminio I BS RPH has the Individual type.

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1053692285 NPI number is provided on an as is basis without warranty of any kind. 1053692285 is maintained by the National Plan & Provider Enumeration System. The contents of Peter Bonaminio I BS RPH are for informational purposes only.