Individual
CHRISTINE MARIE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10639 S CICERO AVE, OAK LAWN, IL 60453-5269
(708) 424-3594
Mailing address
10639 S CICERO AVE, OAK LAWN, IL 60453-5269
(708) 424-3594
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-040447
IL
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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