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NPI Code Detail

MEDICARE: DR. SALVADOR GUTIERREZ PHARMD

MEDICARE: DR. SALVADOR GUTIERREZ PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist051294247IL

General Provider Information

NPI Number : 1053626127
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SALVADOR GUTIERREZ PHARMD
Provider Business Mailing Address
First Line : 200 W NORTHWEST HWY
Second Line :
City : PALATINE
State : IL
Zip : 60067-2413
Country : US
Telephone Number : 847-934-2530
Fax Number : 847-934-2537
Provider Business Practice Location Address
First Line : 200 W NORTHWEST HWY
Second Line :
City : PALATINE
State : IL
Zip : 60067-2413
Country : US
Telephone Number : 847-934-2530
Fax Number : 847-934-2537
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2010
Last Update Date : 08/13/2010

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Directions to “ DR. SALVADOR GUTIERREZ PHARMD” Practice Location

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