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Organization

WALKERS COTTAGE APOTHECARY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LEON G WALKER RPH (PRESIDENT)
(773) 924-6723
Entity
Organization

Contact information

Practice address
654 E 47TH STREET, CHICAGO, IL 60653-4224
(773) 924-6723
(773) 924-6817
Mailing address
654 E 47TH STREET, CHICAGO, IL 60653-4224
(773) 924-6723
(773) 924-6817

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1438248
NCPDP
Enumeration date
08/21/2006
Last updated
08/22/2020
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