Individual
BRIAN PAVUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 E ROOSEVELT RD, VILLA PARK, IL 60181-3500
(630) 993-0869
Mailing address
8324 163RD ST, TINLEY PARK, IL 60477-1225
(925) 338-6008
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.041169
IL
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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