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NPI Code Detail

MEDICARE: DR. JOHN GAROFALO PHARMD

MEDICARE: DR. JOHN GAROFALO 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
11835P1200XPharmacotherapy PharmacistIL

General Provider Information

NPI Number : 1467531830
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN GAROFALO PHARMD
Provider Business Mailing Address
First Line : 69 WESTWOOD SQ
Second Line :
City : INDIANHEAD PARK
State : IL
Zip : 60525-4454
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1740 W TAYLOR ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-7232
Country : US
Telephone Number : 312-996-7678
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JOHN GAROFALO PHARMD” Practice Location

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