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General NPI Number Information
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NPI Number | 1942412119
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Entity Type | Organization
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Legal Business Name | G & B DRUGS
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2850 W. 95ST SUITE 100
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City | EVERGREEN PARK
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State | IL
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Zip | 60805-2735
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Country | US
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Telephone | 708-422-6590
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Fax | 708-422-6591
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Provider Business Mailing Address
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Address Line | 2850 W. 95ST SUITE 100
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City | EVERGREEN PARK
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State | IL
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Zip | 60805-2735
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Country | US
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Telephone | 708-422-6590
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Fax | 708-422-6591
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Authorized Official
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Title or Position | PRESIDENT
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Name | GEORGE STRATTON
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Credential |
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Telephone | 708-422-6590
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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 | 54011381
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License Number State | IL
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