Organization
EPHRAIM PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON EGBUNA (SECRETARY)
(773) 454-3392
Entity
Organization
Contact information
Practice address
2215 W 95TH ST, CHICAGO, IL 60643
(773) 454-3392
Mailing address
2215 W 95TH ST, CHICAGO, IL 60643-1001
(773) 454-3392
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
05/15/2017
Last updated
07/21/2022
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