Organization
OSCO PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GWEN HOANG PHAM (PHARMD)
(773) 865-2776
Entity
Organization
Contact information
Practice address
2633 W FARRAGUT AVE APT 1E, CHICAGO, IL 60625-3326
(773) 865-2776
Mailing address
2633 W FARRAGUT AVE APT 1E, CHICAGO, IL 60625-3326
(773) 865-2776
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
051.297138
IL
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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