Individual
CARISSA MIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1931 W CERMAK RD, CHICAGO, IL 60608-4203
(773) 847-5781
Mailing address
1931 W CERMAK RD, CHICAGO, IL 60608-4203
(773) 847-5781
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051303528
IL
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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