Individual
EULALIA MOLDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4032 W FOSTER AVE, CHICAGO, IL 60630-2747
(773) 478-8750
Mailing address
4032 W FOSTER AVE, CHICAGO, IL 60630-2747
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.033801
IL
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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