Individual
MR. JORGE LAGUNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2634 S PULASKI RD, CHICAGO, IL 60623-4409
(773) 522-2627
(773) 522-2610
Mailing address
2634 S PULASKI RD, CHICAGO, IL 60623-4409
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051287170
IL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
051287170
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811828780
CVS
—
01
—
1811938780
CVS
—
Enumeration date
02/09/2021
Last updated
02/09/2021
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