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General NPI Number Information
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NPI Number | 1639544901
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Entity Type | Organization
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Legal Business Name | SHERWIN PHARMACY, INC.
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Dates
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Enumeration Date | 12/11/2015
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Last Update Date | 12/11/2015
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Provider Practice Location Address
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Address Line | 2338 N CLARK ST
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City | CHICAGO
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State | IL
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Zip | 60614-3423
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Country | US
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Telephone | 773-773-3608
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Fax | 773-296-2762
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Provider Business Mailing Address
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Address Line | 2338 N CLARK ST
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City | CHICAGO
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State | IL
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Zip | 60614-3423
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Country | US
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Telephone | 773-773-3608
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Fax | 773-296-2762
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Authorized Official
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Title or Position | OWNER/PIC
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Name | MRS. SHARRON S SEYMOUR
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Credential |
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Telephone | 773-991-5012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 051.289557
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License Number State | IL
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