Organization
CORNERSTONE PHARMACY INC
Active
Other names
Cornerstone Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANNIELA OLMOS FIGUEROA (OWNER/AO)
(773) 844-3455
Entity
Organization
Contact information
Practice address
10555 S EWING AVE, FIRST FLOOR, CHICAGO, IL 60617-6200
(773) 902-2356
(773) 902-2458
Mailing address
10555 S EWING AVE, FIRST FLOOR, CHICAGO, IL 60617-6200
(773) 902-2356
(773) 902-2458
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054.020815
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177600
PK
—
Enumeration date
05/04/2018
Last updated
07/19/2018
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