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1477658078
GLEN LEWIS EZAKI
CHICAGO, IL
NPI
1477658078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: IL 051028744)
Enumeration Date
2006-09-14
Last Update Date
2007-07-08
Business Address
Mr. GLEN LEWIS EZAKI RPH
820 S DAMEN AVE (119)
CHICAGO, IL 60612-3728
Phone number: 312-565-7109
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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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