# GILMAN PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GILMAN PHARMACY LLC
- **Other names:** Gilman Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1841051299
- **Legal business name:** GILMAN PHARMACY LLC
- **Authorized official:** DR. CLARKE KUELTZO PHARMD (PRESIDENT)
- **Authorized official phone:** (708) 254-0498

## Contact information

- **Practice address:** 1042 S CRESCENT ST, GILMAN, IL 60938-6134
- **Practice address phone:** (708) 254-0498
- **Mailing address:** 1042 S CRESCENT ST, GILMAN, IL 60938-6134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/22/2024
- **Last updated:** 01/22/2024