Individual
CLIFFORD CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2112 N ASHLAND AVE, CHICAGO, IL 60614
(773) 342-6585
Mailing address
2112 N ASHLAND AVE, CHICAGO, IL 60614
(773) 342-6585
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051304104
IL
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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