Organization
BELMONT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL MARKIEWICZ PHARM.D. (PRESIDENT)
(773) 777-9624
Entity
Organization
Contact information
Practice address
6148 W BELMONT AVE, CHICAGO, IL 60634-4003
(773) 777-9624
(773) 777-9625
Mailing address
6148 W BELMONT AVE, CHICAGO, IL 60634-4003
(773) 777-9624
(773) 777-9625
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1475715
NCPDP
IL
Enumeration date
03/20/2007
Last updated
03/07/2023
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