Organization
KS PHARMACY
Active
Other names
Pure Pharma RX
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAROLINA MACULEWICZ PHARMD (PHARMACIST IN CHARGE)
(312) 319-2729
Entity
Organization
Contact information
Practice address
2333 N HARLEM AVE STE 100, CHICAGO, IL 60707-2718
(312) 319-2729
Mailing address
645 N KINGSBURY ST APT 1804, CHICAGO, IL 60654-6873
(847) 610-0144
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
07/22/2021
Last updated
06/25/2024
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