Individual
MICHAEL RYAN MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
PHARMD
Contact information
Practice address
6153 N NORTHCOTT AVE, CHICAGO, IL 60631-2457
(773) 440-9741
Mailing address
6153 N NORTHCOTT AVE, CHICAGO, IL 60631-2457
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
049.284042
IL
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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