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Organization
LAGOM RX
Active
Organization
LAGOM RX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK HEIL PHARMD (PRESIDENT)
(312) 813-7928
Entity
Organization
Contact information
Practice address
114 N ABERDEEN ST, UNIT 1, CHICAGO, IL 60607-0001
(312) 265-0144
Mailing address
114 N ABERDEEN ST, UNIT 1, CHICAGO, IL 60607-0001
(312) 265-0144
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054.019687
IL
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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