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NPI Code Detail

MEDICARE: FLOR CORTES PHARMD

MEDICARE:   FLOR  CORTES  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
1183500000XPharmacist051.299085IL

General Provider Information

NPI Number : 1952773566
Entity Type Code : Individual
Provider Name (Legal Business Name) : FLOR CORTES PHARMD
Provider Business Mailing Address
First Line : 4626 W DIVERSEY
Second Line :
City : CHICAGO
State : IL
Zip : 60639
Country : US
Telephone Number : 773-628-1883
Fax Number :
Provider Business Practice Location Address
First Line : 4626 W DIVERSEY
Second Line :
City : CHICAGO
State : IL
Zip : 60639
Country : US
Telephone Number : 773-628-1883
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2015
Last Update Date : 10/22/2015

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Directions to “ FLOR CORTES PHARMD” Practice Location

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