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Organization
FARMACIA 47 INC
Active
Organization
FARMACIA 47 INC
Active
Other names
47TH STREET PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD CHAGOYA (OWNER PHARMACIST)
(773) 847-6160
Entity
Organization
Contact information
Practice address
1837 W 47TH ST, CHICAGO, IL 60609-3844
(773) 847-6160
(773) 847-6165
Mailing address
1837 W 47TH ST, CHICAGO, IL 60609-3844
(773) 847-6160
(773) 847-6165
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
054015508
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021809
PK
—
Enumeration date
08/31/2006
Last updated
10/29/2014
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