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Organization
BECKER PROFESSIONAL PHARMACY INC
Active
Organization
BECKER PROFESSIONAL PHARMACY INC
Active
Other names
BECKER PROFESSIONAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALVIN KLEIN (PRESIDENT)
(273) 561-4486
Entity
Organization
Contact information
Practice address
4744 N WESTERN AVE, CHICAGO, IL 60625-2013
(773) 334-1060
(773) 334-3162
Mailing address
4744 N WESTERN AVE, CHICAGO, IL 60625-2013
(773) 334-1060
(773) 334-3162
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054.004739
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022887
PK
—
Enumeration date
06/26/2006
Last updated
09/14/2016
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