Organization
VAN DRIEL'S DRUG STORE
Active
Other names
vandriel's medical surgical supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAX F ULLRICH (OWNER)
(847) 253-6494
Entity
Organization
Contact information
Practice address
100 E NORTHWEST HWY, MT PROSPECT, IL 60056-3232
(847) 253-6494
Mailing address
319 S PINE ST, MT PROSPECT, IL 60056-3117
(847) 255-9139
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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