Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Glen Lewis Ezaki, RPH

Individual provider Pharmacist · NPI 1477658078

Mr. Glen Lewis Ezaki, RPH is a Pharmacist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

820 S Damen Ave (119)
Chicago, IL 60612-3728
Phone: (312) 565-7109
Fax: (312) 569-8028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X (IL)

Record details

NPI number1477658078
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedSeptember 14, 2006
Last updated in NPPESJuly 8, 2007

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