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Organization
INTERDEPENDENT PHARMACY, LLC
Active
Organization
INTERDEPENDENT PHARMACY, LLC
Active
Other names
Lakes Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BYRON STRAKUSEK RPH. (OWNER)
(224) 392-2666
Entity
Organization
Contact information
Practice address
404 N SEYMOUR AVE, MUNDELEIN, IL 60060-1835
(224) 475-0020
(224) 475-0849
Mailing address
1778 SOMERSET LN, MUNDELEIN, IL 60060-5363
(224) 392-2666
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
04/07/2017
Last updated
07/21/2022
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