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Organization

LAWRENCE HOUSE

Active
Parent organization
STATE OF ILLINOIS
Other names
Pharmacist
Organization subpart
Yes

Provider details

NPI number
Legal business name
STATE OF ILLINOIS
Authorized official
MR. JOHN F O'SULLIVAN RPH (PHARMACIST)
(630) 649-0027
Entity
Organization

Contact information

Practice address
1001 W LAWRENCE AVE, CHICAGO, IL 60640-5017
(773) 561-2288
Mailing address
5953 OAKWOOD DR, LISLE, IL 60532-3011
(630) 649-0027

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
051033099
IL

Other

Enumeration date
01/21/2016
Last updated
01/21/2016
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