Individual
DAVID ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4748 W NORTH AVE, CHICAGO, IL 60639-4640
(773) 745-6642
(773) 745-7350
Mailing address
4748 W NORTH AVE, CHICAGO, IL 60639-4640
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051036273
IL
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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