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1205354628
5 CS
CHICAGO, IL
NPI
1205354628
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Entity Type
Organization
Authorized Contact
TIAJUANA DIXON
Owner
708-704-7570
Organization Subpart ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: IL 051.287455)
Enumeration Date
2017-09-06
Last Update Date
2022-07-21
Business Address
5 CS
10830 S HALSTED ST
CHICAGO, IL 60628
Phone number: 773-468-0223
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Mailing Address
5 CS
10830 S HALSTED ST
CHICAGO, IL 60628-3126
Phone number: 773-468-0223
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