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NPI Code Detail

MEDICARE: DR. ANDREW J PAWLAK PHARMD

MEDICARE: DR. ANDREW J PAWLAK 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
1183500000XPharmacist051298956IL

General Provider Information

NPI Number : 1528436185
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW J PAWLAK PHARMD
Provider Business Mailing Address
First Line : 900 NORTHWEST HWY
Second Line :
City : FOX RIVER GROVE
State : IL
Zip : 60021-1914
Country : US
Telephone Number : 847-639-0376
Fax Number :
Provider Business Practice Location Address
First Line : 900 NORTHWEST HWY
Second Line :
City : FOX RIVER GROVE
State : IL
Zip : 60021-1914
Country : US
Telephone Number : 847-639-0376
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2015
Last Update Date : 09/11/2015

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Directions to “ DR. ANDREW J PAWLAK PHARMD” Practice Location

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