institution
47th And Vicennes Professional
Clinic Pharmacy in Chicago, Illinois
NPI 1942416938

47th And Vicennes Professional is a Clinic Pharmacy based in Chicago, IL and is specialized in Clinic Pharmacy. 47th And Vicennes Professional practices in Chicago, IL. The NPI Number for 47th And Vicennes Professional is 1942416938 and holds a License No. 054014942 (Illinois).

The current practice location address for 47th And Vicennes Professional is 504 E 47Th St, Chicago, IL and can be reached out via phone at 773-624-0613 and via fax at 773-624-0204.

Location: 504 E 47Th St, Chicago, IL, 60653-4208
institution
Provider Profile Details
NPI Number
1942416938
Provider Name
47th And Vicennes Professional
Credential
Provider Entity Type
Organization
Address
504 E 47Th St, Chicago, IL, 60653-4208
Phone Number
773-624-0613
Fax Number
773-624-0204
Provider Enumeration Date
05/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
504 E 47Th St
City
State
Zip
60653-4208
Phone Number
773-624-0613
Fax Number
773-624-0204
person
Provider Business Mailing Address Details
Address
504 E 47Th St
City
State
Zip
60653-4208
Phone Number
773-624-0613
Fax Number
773-624-0204
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
License No.
054014942 (Illinois)
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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