Individual
DR. EDWARD ODICHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
2842 W SUMMERDALE AVE APT 2W, CHICAGO, IL 60625-3424
(773) 934-3132
Mailing address
2842 W SUMMERDALE AVE APT 2W, CHICAGO, IL 60625-3424
(773) 934-3132
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051295825
IL
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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