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Organization
REMOTE PHARMACY
Active
Organization
REMOTE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFREDO VILLASENOR RPH (PHARMACIST)
(773) 782-0790
Entity
Organization
Contact information
Practice address
2556 W NORTH AVE, CHICAGO, IL 60647-5216
(773) 782-0790
(773) 782-0784
Mailing address
2556 W NORTH AVE, CHICAGO, IL 60647-5216
(773) 782-0790
(773) 782-0784
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Enumeration date
08/29/2006
Last updated
07/21/2022
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