Deitch Pharmacy Inc.

NPI 1093878217 - Pharmacy - 3336C0003X

NPI Details
NPI 1093878217
Enumeration Date 12/19/2006
Last Updated 05/13/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name OSVALDO OSVALDO
Position OWNER CHIEF PHARMACIST
Phone (773) 486-1200
Fax (773) 486-2862
Practice Location
1800 W CHICAGO AVE
CHICAGO IL, 60622-5512, US
Phone (773) 486-1200
Fax (773) 486-2862
Business Location
1800 W CHICAGO AVE
CHICAGO IL, 60622-5512, US
Phone (773) 486-1200
Fax (773) 486-2862
Toxanomy
Taxonomy Code 3336C0003X
License State Illinois
License Number 054005550
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According to our database, Deitch Pharmacy Inc. NPI is 1093878217, taxonomy code is 3336C0003X and license number is 054005550, license state is located at Illinois. Deitch Pharmacy Inc. physically located at 1800 W Chicago Ave, Chicago IL, 60622-5512. NPI Number 1033115704 has the healthcare provider type.

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1093878217 NPI number is provided on an as is basis without warranty of any kind. 1093878217 is maintained by the National Plan & Provider Enumeration System. The contents of Deitch Pharmacy Inc. are for informational purposes only.