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Organization
WEBSTER DRUG INC
Active
Organization
WEBSTER DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ALLEN ROGOWIN RPH (PHARMACIST OWNER)
(312) 567-1490
Entity
Organization
Contact information
Practice address
610 W 31ST ST, CHICAGO, IL 60616-3023
(312) 567-1490
(312) 567-0651
Mailing address
610 W 31ST ST, CHICAGO, IL 60616-3023
(312) 567-1490
(312) 567-0651
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1464483
PROVIDER NO 3RD PARTY
IL
05
—
361389858002
—
IL
Enumeration date
03/22/2007
Last updated
01/16/2008
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