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Individual

DR. MINOLI A PERERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D, PH.D

Contact information

Practice address
5841 S MARYLAND AVE, ROOM TS 651, MC 6091, CHICAGO, IL 60637-1447
(773) 702-9006
(773) 702-2567
Mailing address
5841 S MARYLAND AVE, ROOM TS 651, MC 6091, CHICAGO, IL 60637-1447
(773) 702-9006
(773) 702-2567

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
051291144
IL

Other

Enumeration date
07/29/2008
Last updated
07/29/2008
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