Organization
DEL KAR PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN JEROME MULDROW (PHARMACIST)
(773) 762-5058
Entity
Organization
Contact information
Practice address
3726 W 16TH ST, CHICAGO, IL 60623-2026
(773) 762-5058
Mailing address
3726 W 16TH ST, CHICAGO, IL 60623-2026
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
Primary
054009146
IL
Other
Enumeration date
10/26/2005
Last updated
06/12/2008
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