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1487931960
MICHAEL ANTHONY MENNELLA
OAK FOREST, IL
NPI
1487931960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: IL 051-288969)
Enumeration Date
2011-11-10
Last Update Date
2011-11-10
Business Address
-- MICHAEL ANTHONY MENNELLA pharm d
5525 159TH ST
OAK FOREST, IL 60452-3223
Phone number: 708-535-6018
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Mailing Address
-- MICHAEL ANTHONY MENNELLA pharm d
5525 159TH ST
OAK FOREST, IL 60452-3223
Phone number: 708-535-6018
Copy
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