Individual
MR. CALVIN LEE BRYANT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
10724 S DREW ST, CHICAGO, IL 60643-3424
(773) 266-1116
Mailing address
10724 S DREW ST, CHICAGO, IL 60643-3424
(773) 266-1116
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051034870
IL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
051034870
IL
1835P1200X
Pharmacotherapy Pharmacist
051034870
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051034870
PHARMACIST LICENSE #
IL
Enumeration date
06/22/2007
Last updated
11/25/2008
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