47TH AND VICENNES PROFESSIONAL

CHICAGO, IL
NPI1942416938
Entity TypeOrganization
Authorized ContactZAROOQ SABAYO
Pharmcist
773-624-0613
Organization Subpart ?No
Primary Taxonomy3336C0002X Pharmacy, Clinic Pharmacy
(Licence: IL  054014942)
Enumeration Date2007-05-15
Last Update Date2008-06-18
Business Address
47TH AND VICENNES PROFESSIONAL
504 E 47TH ST
CHICAGO, IL 60653-4208
Phone number: 773-624-0613
Mailing Address
47TH AND VICENNES PROFESSIONAL
504 - 506 E 47TH ST
CHICAGO, IL 60653-4208
Phone number: 773-624-0613