Organization
QUEENSWAY ENT. INC.
Active
Other names
QUEENSWAY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHMOND NIMAKO-BOATENG PHARM.D (CEO)
(630) 236-9502
Entity
Organization
Contact information
Practice address
691 COLLINS ST, SUITE 1B, JOLIET, IL 60432-1856
(630) 236-9502
Mailing address
PO BOX 4863, NAPERVILLE, IL 60567-4863
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
IL
3336C0004X
Compounding Pharmacy
—
IL
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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