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General NPI Number Information
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NPI Number | 1437200706
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Entity Type | Organization
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Legal Business Name | WESTEND PHARMACY
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 07/08/2008
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Provider Practice Location Address
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Address Line | 2805 W HARRISON ST
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City | CHICAGO
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State | IL
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Zip | 60612-3332
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Country | US
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Telephone | 177-353-3054
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Fax | 177-353-3054
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Provider Business Mailing Address
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Address Line | 2805 W HARRISON ST
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City | CHICAGO
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State | IL
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Zip | 60612-3332
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Country | US
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Telephone | 177-353-3054
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Fax | 177-353-3054
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. JAMALUDIN SITAFALWALLA
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Credential | B.S. (PHARMACY)
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Telephone | 17735330548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051.031457
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License Number State | IL
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