Individual
DR. DANIEL CARLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCPS
Contact information
Practice address
5000 S 5TH AVE, HINES VA HOSPITAL - PHARMACY 119, HINES, IL 60141
(708) 202-4511
Mailing address
5000 S 5TH AVE, HINES VA HOSPITAL - PHARMACY 119, HINES, IL 60141
(708) 202-4511
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.300377
IL
1835P1200X
Pharmacotherapy Pharmacist
Primary
051300377
IL
Other
Enumeration date
08/17/2018
Last updated
11/07/2023
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