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NPI Code Detail

MEDICARE: CHALSEA AIWOHI PHARMD

MEDICARE: CHALSEA AIWOHI 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
1183500000XPharmacist051299558IL

General Provider Information

NPI Number : 1790226868
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHALSEA AIWOHI PHARMD
Provider Business Mailing Address
First Line : 1345 1/2 W TOUHY AVE
Second Line : APT 1E
City : CHICAGO
State : IL
Zip : 60626-2674
Country : US
Telephone Number : 808-336-1278
Fax Number :
Provider Business Practice Location Address
First Line : 1345 1/2 W TOUHY AVE
Second Line : APT 1E
City : CHICAGO
State : IL
Zip : 60626-2674
Country : US
Telephone Number : 808-336-1278
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2017
Last Update Date : 03/09/2017

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Directions to “ CHALSEA AIWOHI PHARMD” Practice Location

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