Individual
LUKE FREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1202 STATE ST, LEMONT, IL 60439-4489
(630) 243-1803
Mailing address
224 S ROSE AVE, PARK RIDGE, IL 60068-3730
(847) 309-1355
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
051303584
IL
333600000X
Pharmacy
Primary
S024148
AZ
Other
Enumeration date
11/26/2020
Last updated
04/26/2022
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