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Organization
UPTOWN PHARMACY, INC.
Active
Organization
UPTOWN PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDUARDO ALPIZAR (PRESIDENT)
(773) 944-0525
Entity
Organization
Contact information
Practice address
4535 N SHERIDAN RD, CHICAGO, IL 60640-7611
(773) 944-0525
(773) 944-0632
Mailing address
4535 N SHERIDAN RD, CHICAGO, IL 60640-7611
(773) 944-0525
(773) 944-0632
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
054-019426
IL
333600000X
Pharmacy
Primary
054-019426
IL
3336C0003X
Community/Retail Pharmacy
054-019426
IL
3336C0004X
Compounding Pharmacy
054-019426
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054-019426
IL DEPT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
08/06/2015
Last updated
08/06/2015
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