Koz-laz Incorporated

NPI 1265544100 - Pharmacy - 333600000X

NPI Details
NPI 1265544100
Enumeration Date 08/31/2006
Last Updated 10/13/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JACK JACK
Position PRESIDENT AND OWNER
Phone (773) 586-1134
Fax (773) 586-1151
Practice Location
6456 W ARCHER AVE
CHICAGO IL, 60638-2537, US
Phone (773) 586-1134
Fax (773) 586-1151
Business Location
6456 W ARCHER AVE
CHICAGO IL, 60638-2537, US
Phone (773) 586-1134
Fax (773) 586-1151
Toxanomy
Taxonomy Code 333600000X
License State
License Number
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According to our database, Koz-laz Incorporated NPI is 1265544100, taxonomy code is 333600000X Koz-laz Incorporated physically located at 6456 W Archer Ave, Chicago IL, 60638-2537. NPI Number 1033115704 has the healthcare provider type.

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1265544100 NPI number is provided on an as is basis without warranty of any kind. 1265544100 is maintained by the National Plan & Provider Enumeration System. The contents of Koz-laz Incorporated are for informational purposes only.