Fullerton Kedzie Professional Pharmacy
Fullerton Kedzie Professional Pharmacy is a Community/Retail Pharmacy in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2015.
- Licensed in
- IL
- In the registry since
- 2015
Practice location Address checks out
3153 W Fullerton AveChicago, IL 60647-2809
Phone: (773) 278-6604
Fax: (773) 395-4633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence 054-007134 (IL) |
|---|
Record details
| NPI number | 1083005078 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ettore Boggetto — Pharmacist-In-Charge · (773) 278-6604 |
| NPI enumerated | February 11, 2015 |
| Last updated in NPPES | February 11, 2015 |
| Mailing address | 3153 W Fullerton Ave, Chicago, IL 60647-2809 |
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