Organization
LOCAL HEALTH INC
Active
Other names
Logan Square Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SELMA DZELIL PHARMD (VP REGIONAL DIRECTOR)
(815) 715-8502
Entity
Organization
Contact information
Practice address
3600 W FULLERTON AVE STE 27, CHICAGO, IL 60647-2319
(872) 710-9041
Mailing address
3600 W FULLERTON AVE STE 27, CHICAGO, IL 60647-2319
(872) 710-9041
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
09/25/2023
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