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Organization
B & G HEINZ PHARMACY, INC
Active
Organization
B & G HEINZ PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED T TRIMUEL RPH (CHIEF PHARMACIST)
(773) 238-8680
Entity
Organization
Contact information
Practice address
559 W 103RD STREET, CHICAGO, IL 60628
(773) 238-8680
(773) 238-8634
Mailing address
559 W 103RD STREET, CHICAGO, IL 60628
(773) 238-8680
(773) 238-8634
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0054003648
IL
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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