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Individual

ALBERT OLUGBOTEMI DADA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMACIST

Contact information

Practice address
3752 W 16TH ST, CHICAGO, IL 60623-2028
(773) 521-0060
(773) 521-8770
Mailing address
9230 FRANCES LN, ORLAND PARK, IL 60462-4747
(773) 521-0060
(773) 521-8770

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051032390
IL

Other

Enumeration date
06/21/2016
Last updated
06/21/2016
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