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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