Individual
CAROL CASSIDY NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1700 LARKIN AVE, ELGIN, IL 60123-5947
(847) 695-1158
Mailing address
1700 LARKIN AVE, ELGIN, IL 60123-5947
(847) 695-1158
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.037840
IL
183500000X
Pharmacist
5302026434
MI
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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