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NPI Code Detail

MEDICARE: HAMLIN-CHICAGO PHARMACY INC

MEDICARE: HAMLIN-CHICAGO PHARMACY INC
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
1333600000XPharmacyIL

General Provider Information

NPI Number : 1205818119
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAMLIN-CHICAGO PHARMACY INC
Provider Business Mailing Address
First Line : 3758 W CHICAGO AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60651-3823
Country : US
Telephone Number : 773-227-7440
Fax Number : 773-227-7735
Provider Business Practice Location Address
First Line : 3758 W CHICAGO AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60651-3823
Country : US
Telephone Number : 773-227-7440
Fax Number : 773-227-7735
Authorized Official
Title or Position : PRESIDENT
Name : MR. PHILLIP GORDON
Credential : PHARMACIST
Telephone Number : 773-227-7440
Provider Enumeration Date : 11/16/2005
Last Update Date : 08/22/2020

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Directions to “HAMLIN-CHICAGO PHARMACY INC ” Practice Location

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