Individual
JOANNA KACZMARCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5555 W 79TH ST, BURBANK, IL 60459-1301
(708) 499-3755
Mailing address
5555 W 79TH ST, BURBANK, IL 60459-1301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.301144
IL
183700000X
Pharmacy Technician
049190847
IL
Other
Enumeration date
06/29/2017
Last updated
02/12/2021
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