Individual
BEVERLY RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3220 W 111TH ST, CHICAGO, IL 60655-2714
(773) 239-2808
(773) 239-1935
Mailing address
3220 W 111TH ST, CHICAGO, IL 60655-2714
(773) 239-2808
(773) 239-1935
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051287462
IL
Other
Enumeration date
11/06/2011
Last updated
11/06/2011
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