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Individual

ETHAN MILTON KLEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
3001 GREEN BAY RD, PHARMACY 119, NORTH CHICAGO, IL 60064-3048
(800) 393-0865
Mailing address
3001 GREEN BAY RD, PHARMACY 119, NORTH CHICAGO, IL 60064-3048

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051294502
IL

Other

Enumeration date
09/08/2010
Last updated
09/08/2010
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