Individual
BAHATI FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4626 W DIVERSEY AVE, WALMART PHARMACY, CHICAGO, IL 60639-1829
(773) 628-1883
(773) 628-1884
Mailing address
4626 W DIVERSEY AVE, WALMART PHARMACY, CHICAGO, IL 60639-1829
(773) 628-1883
(773) 628-1884
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
033269823
OH
183500000X
Pharmacist
Primary
051291921
IL
Other
Enumeration date
12/01/2014
Last updated
08/26/2015
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