Organization
THIES-LOMBARD PHARMACY, INC
Active
Other names
Lombard Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARKE ALLAN KUELTZO (PRESIDENT)
(630) 495-2333
Entity
Organization
Contact information
Practice address
211 S MAIN ST, LOMBARD, IL 60148-2678
(630) 495-2333
(630) 495-2355
Mailing address
211 S MAIN ST, LOMBARD, IL 60148-2678
(630) 495-2333
(630) 495-2355
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
06/18/2022
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