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Organization
NEIGHBORHOOD PHARMACY INC
Active
Organization
NEIGHBORHOOD PHARMACY INC
Active
Other names
NEIGHBORHOOD PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST RIEDL B.S. (PHARMACIST IN CHARGE)
(708) 389-5300
Entity
Organization
Contact information
Practice address
11600 S KEDZIE AVE, MERRIONETTE PARK, IL 60803-6307
(708) 389-5300
(708) 389-5309
Mailing address
11600 S KEDZIE AVE, MERRIONETTE PARK, IL 60803-6307
(708) 389-5300
(708) 389-5309
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054016764
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1484118
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/10/2010
Last updated
04/06/2010
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