Organization
AMBROSE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS AMBROSE RPH (PRESIDENT)
(773) 762-8892
Entity
Organization
Contact information
Practice address
3534 W 26TH ST, CHICAGO, IL 60623-3912
(773) 762-8892
(773) 762-8760
Mailing address
3534 W 26TH ST, CHICAGO, IL 60623-3912
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
IL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1414236
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/28/2006
Last updated
09/11/2025
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