Individual
MR. GEORGE E GRYFAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1071 MEMORY LN, LAKE ZURICH, IL 60047-2489
(847) 726-2668
Mailing address
679 E DUNDEE ROAD, TARGET 0753, PALATINE, IL 60074-2817
(847) 202-5130
(847) 202-5130
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.030193
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051030193
RPH REGISTRATION NUMBER IN ILLINOIS
IL
Enumeration date
06/23/2011
Last updated
06/23/2011
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