Individual
DR. CHIMDIMMA ILONZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1154 BALTIMORE PIKE, SPRINGFIELD, PA 19064-2850
(610) 544-4645
(610) 544-1757
Mailing address
1154 BALTIMORE PIKE, SPRINGFIELD, PA 19064-2850
(610) 544-4645
(610) 544-1757
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP442458
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP442458
PA BOARD OF PHARMACY
PA
Enumeration date
05/05/2010
Last updated
09/10/2012
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