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Organization

UPTOWN PHARMACY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EDUARDO ALPIZAR (PRESIDENT)
(773) 944-0525
Entity
Organization

Contact information

Practice address
4535 N SHERIDAN RD, CHICAGO, IL 60640-7611
(773) 944-0525
(773) 944-0632
Mailing address
4535 N SHERIDAN RD, CHICAGO, IL 60640-7611
(773) 944-0525
(773) 944-0632

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
054-019426
IL
333600000X
Pharmacy
Primary
054-019426
IL
3336C0003X
Community/Retail Pharmacy
054-019426
IL
3336C0004X
Compounding Pharmacy
054-019426
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
054-019426
IL DEPT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
08/06/2015
Last updated
08/06/2015
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