Individual
ALLA SHOSTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1042 S ELMHURST RD, MOUNT PROSPECT, IL 60056-4240
(847) 956-0070
Mailing address
1823 APPLE VALLEY DR, WAUCONDA, IL 60084-1420
(847) 487-7445
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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