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1720369457
ANTHONY ALLEN ALVIS
ORLAND PARK, IL
NPI
1720369457
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: IL 051.029521)
Enumeration Date
2011-09-08
Last Update Date
2011-09-08
Business Address
Mr. ANTHONY ALLEN ALVIS rph
7960 W 159TH ST
ORLAND PARK, IL 60462-5038
Phone number: 708-532-7781
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Mailing Address
Mr. ANTHONY ALLEN ALVIS rph
20021 SCOTT ST
MOKENA, IL 60448-1625
Phone number: 708-479-5733
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