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Individual

MR. KALU BASSEY ORIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMACIST

Contact information

Practice address
2924 E 92ND ST, CHICAGO, IL 60617
(773) 721-6603
(773) 721-2003
Mailing address
2924 E 92ND STREET, CHICAGO, IL 60617
(773) 721-6603
(773) 721-2003

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
051-033507
IL
183500000X
Pharmacist
26091877A
IN
183500000X
Pharmacist
Primary
29225
TX

Other

Enumeration date
09/21/2011
Last updated
10/04/2011
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