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NPI Code Detail

MEDICARE: NAJI GEORGE FAKHOURI PHARMD

MEDICARE: NAJI GEORGE FAKHOURI PHARMD
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
1183500000XPharmacist051-290581IL

General Provider Information

NPI Number : 1346525144
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAJI GEORGE FAKHOURI PHARMD
Provider Business Mailing Address
First Line : 3976 N WILKE RD
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-1246
Country : US
Telephone Number : 773-562-9056
Fax Number :
Provider Business Practice Location Address
First Line : 6 E NORTH AVE
Second Line :
City : NORTHLAKE
State : IL
Zip : 60164-2516
Country : US
Telephone Number : 708-836-0348
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2011
Last Update Date : 10/12/2011

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