Organization
DIAZ HOLDINGS, INC.
Active
Other names
Albany Park Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALONSO DIAZ (PRESIDENT)
(773) 387-7914
Entity
Organization
Contact information
Practice address
3204 W LAWRENCE AVE, CHICAGO, IL 60625-5209
(773) 387-7914
Mailing address
3204 W LAWRENCE AVE, CHICAGO, IL 60625-5209
(773) 387-7914
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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