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Organization
BRAUN PHARMA, LLC
Active
Organization
BRAUN PHARMA, LLC
Active
Parent organization
BRAUN PHARMA, LLC
Other names
BRAUN PHARMACARE, Braun Pharma Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRAUN PHARMA, LLC
Authorized official
SHARRON SUSAN SEYMOUR (PHARMACIST-RN-CHARGE)
(773) 549-0634
Entity
Organization
Contact information
Practice address
1919 N CLYBOURN AVE, CHICAGO, IL 60614
(773) 549-0634
(773) 549-2753
Mailing address
1919 N CLYBOURN AVE, CHICAGO, IL 60614
(773) 549-0634
(773) 549-2753
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
054.016333
IL
3336C0004X
Compounding Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023616
PK
—
Enumeration date
10/12/2007
Last updated
05/01/2020
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