Individual
DR. CLARISSA I CALDERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4740 W 95TH ST, OAK LAWN, IL 60453-2530
(708) 425-6960
Mailing address
7053 W 64TH PL, CHICAGO, IL 60638-4632
(773) 225-6589
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051303549
IL
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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