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NPI Code Detail

MEDICARE: DR. ELIZABETH OSPINA PHARMD

MEDICARE:  DR. ELIZABETH  OSPINA  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
1183500000XPharmacist051.294920IL

General Provider Information

NPI Number : 1538440664
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH OSPINA PHARMD
Provider Business Mailing Address
First Line : 3320 W FULLERTON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-2514
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3320 W FULLERTON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-2514
Country : US
Telephone Number : 773-252-8331
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2011
Last Update Date : 09/02/2011

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Directions to “ DR. ELIZABETH OSPINA PHARMD” Practice Location

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