Organization
LEEDS ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARNOLD L KOTOWSKY RPH (DIRECTOR)
(773) 960-8790
Entity
Organization
Contact information
Practice address
8311 ROOSEVELT RD, FOREST PARK, IL 60130-2529
(773) 960-8790
Mailing address
5 GRENADIER CT, LINCOLNSHIRE, IL 60069-3343
(773) 960-8790
(773) 409-7655
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
058-0133591
IL
Other
Enumeration date
03/03/2008
Last updated
03/05/2008
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