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Organization
GOLF MILL PHARMACY AND MEDICAL SUPPLY INC
Active
Organization
GOLF MILL PHARMACY AND MEDICAL SUPPLY INC
Active
Other names
Golf Mill Pharmacy and Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
VLADIMIR DEYSKI PHARM. D. (PIC)
(847) 803-3340
Entity
Organization
Contact information
Practice address
8941 W GOLF RD, NILES, IL 60714-5812
(847) 803-3340
(847) 803-3342
Mailing address
8334 KARLOV AVE, SKOKIE, IL 60076-2738
(847) 803-3340
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
054016631
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2119936
PK
—
Enumeration date
04/24/2009
Last updated
04/15/2016
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