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Organization

SUZANNE PHARMACY INC.

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Organization

SUZANNE PHARMACY INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BASSEL JOUDEH PHARMD (PHARMACIST-IN-CHARGE)
(708) 774-9944
Entity
Organization

Contact information

Practice address
4647 W 103RD ST, STE IL-A, OAK LAWN, IL 60453-4779
(708) 774-9944
Mailing address
4647 W 103RD ST, STE IL-A, OAK LAWN, IL 60453-4779

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051289499
IL

Other

Enumeration date
01/14/2016
Last updated
01/14/2016
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