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NPI Code Detail

MEDICARE: PAULINA KACZMARCZYK PHARMD

MEDICARE: PAULINA KACZMARCZYK 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
1183500000XPharmacist051.301436IL

General Provider Information

NPI Number : 1821692997
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULINA KACZMARCZYK PHARMD
Provider Business Mailing Address
First Line : 6748 W 111TH ST
Second Line :
City : WORTH
State : IL
Zip : 60482-1912
Country : US
Telephone Number : 708-691-0609
Fax Number :
Provider Business Practice Location Address
First Line : 6748 W 111TH ST
Second Line :
City : WORTH
State : IL
Zip : 60482-1912
Country : US
Telephone Number : 708-361-9701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2020
Last Update Date : 05/17/2021

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Directions to “ PAULINA KACZMARCZYK PHARMD” Practice Location

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