Bolling Prescription Lab Inc

NPI 1346255957 - Pharmacy - 333600000X

NPI Details
NPI 1346255957
Enumeration Date 07/30/2006
Last Updated 10/08/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name HOWARD HOWARD
Position OWNER
Phone (773) 568-1050
Fax (773) 568-1051
Practice Location
11254 S MICHIGAN AVE
CHICAGO IL, 60628-4941, US
Phone (773) 568-1050
Fax (773) 568-1051
Business Location
11254 S MICHIGAN AVE
CHICAGO IL, 60628-4941, US
Phone (773) 568-1050
Fax (773) 568-1051
Toxanomy
Taxonomy Code 333600000X
License State
License Number
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According to our database, Bolling Prescription Lab Inc NPI is 1346255957, taxonomy code is 333600000X Bolling Prescription Lab Inc physically located at 11254 S Michigan Ave, Chicago IL, 60628-4941. NPI Number 1033115704 has the healthcare provider type.

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1346255957 NPI number is provided on an as is basis without warranty of any kind. 1346255957 is maintained by the National Plan & Provider Enumeration System. The contents of Bolling Prescription Lab Inc are for informational purposes only.