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NPI Code Detail

MEDICARE: JERRY TUAZON PHARMD, BCPS

MEDICARE:   JERRY  TUAZON  PHARMD, BCPS
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
1183500000XPharmacist051295954IL

General Provider Information

NPI Number : 1033467469
Entity Type Code : Individual
Provider Name (Legal Business Name) : JERRY TUAZON PHARMD, BCPS
Provider Business Mailing Address
First Line : 2210 W 95TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60643-1002
Country : US
Telephone Number : 773-341-3500
Fax Number : 773-341-3501
Provider Business Practice Location Address
First Line : 2210 W 95TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60643-1002
Country : US
Telephone Number : 773-341-3500
Fax Number : 773-341-3501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2012
Last Update Date : 01/21/2019

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Directions to “ JERRY TUAZON PHARMD, BCPS” Practice Location

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