Individual
GEORGE INCHAVELITHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4440 W 95TH ST, WALGREENS OPP, OAK LAWN, IL 60453
(708) 857-1935
Mailing address
4440 W 95TH ST, WALGREENS OPP, OAK LAWN, IL 60453
(708) 857-1935
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051304233
IL
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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