Individual
DR. JENNIFER L BROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
3243 W 115TH ST, MERRIONETTE PARK, IL 60803-4555
(708) 597-4828
(708) 597-8957
Mailing address
3243 W 115TH ST, MERRIONETTE PARK, IL 60803-4555
(708) 597-4828
(708) 597-8957
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051291892
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363168270102
—
IL
Enumeration date
03/25/2009
Last updated
03/25/2009
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