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1861434581
WAYNE M VIVIRITO
LIBERTYVILLE, IL
NPI
1861434581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: IL 051-029278)
Enumeration Date
2006-06-11
Last Update Date
2007-07-08
Business Address
Mr. WAYNE M VIVIRITO R.Ph.
1451 PETERSON RD
LIBERTYVILLE, IL 60048-1001
Phone number: 847-573-8067
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Mailing Address
Mr. WAYNE M VIVIRITO R.Ph.
118 WINDDANCE DR
LAKE VILLA, IL 60046-6670
Phone number: 847-356-6156
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