GLEN LEWIS EZAKI

CHICAGO, IL
NPI1477658078
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IL  051028744)
Enumeration Date2006-09-14
Last Update Date2007-07-08
Business Address
Mr. GLEN LEWIS EZAKI RPH
820 S DAMEN AVE (119)
CHICAGO, IL 60612-3728
Phone number: 312-565-7109
Mailing Address
Mr. GLEN LEWIS EZAKI RPH
155 N HARBOR DR 4402
CHICAGO, IL 60601-7364
Phone number: 312-569-7109
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