Individual
MRS. CRYSTAL KNAACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
13911 W 167TH ST, HOMER GLEN, IL 60491
(708) 301-9973
Mailing address
13911 W 167TH ST, HOMER GLEN, IL 60491-6189
(708) 301-9973
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051289927
IL
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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