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Organization

WELLGROUP HEALTHPARTNERS PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM J LEONARD R.P.H. (PHARMACIST)
(708) 709-6538
Entity
Organization

Contact information

Practice address
333 DIXIE HWY, CHICAGO HTS, IL 60411-1748
(708) 755-1400
(708) 709-6051
Mailing address
333 DIXIE HWY, CHICAGO HTS, IL 60411-1748
(708) 755-1400
(708) 709-6051

Taxonomy

Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
054005480
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
362662795001
IL
Enumeration date
04/26/2006
Last updated
11/15/2011
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