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1639450323
ELLEN LISA DALTON
MT PROSPECT, IL
NPI
1639450323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: IL 051035992)
Enumeration Date
2011-09-08
Last Update Date
2011-09-08
Business Address
-- ELLEN LISA DALTON rph
1701 E KENSINGTON RD
MT PROSPECT, IL 60056-1922
Phone number: 847-635-9962
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Mailing Address
-- ELLEN LISA DALTON rph
236 S OAK ST
ITASCA, IL 60143-2052
Phone number: 630-250-8750
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