Organization
DEITCH PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSVALDO FELICIANO RPH (OWNER CHIEF PHARMACIST)
(773) 486-1200
Entity
Organization
Contact information
Practice address
1800 W CHICAGO AVE, CHICAGO, IL 60622-5512
(773) 486-1200
(773) 486-2862
Mailing address
1800 W CHICAGO AVE, CHICAGO, IL 60622-5512
(773) 486-1200
(773) 486-2862
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054005550
IL
Other
Enumeration date
12/19/2006
Last updated
05/13/2011
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