ELLEN J LARSON

HINES, IL
NPI1508020868
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IL  051032182)
Enumeration Date2008-07-16
Last Update Date2008-07-16
Business Address
-- ELLEN J LARSON RPh
5TH AND ROOSEVELT ROADS
HINES, IL 60141
Phone number: 708-786-7820
Mailing Address
-- ELLEN J LARSON RPh
6923 W SHAKESPEARE AVE
CHICAGO, IL 60707-3355
Phone number: 773-889-3119
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