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Individual

DENNIS BRYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH MBA FAPHA

Contact information

Practice address
454 W DIVISION ST, CHICAGO, IL 60610-1727
(312) 274-1706
(312) 274-1709
Mailing address
2240 W IOWA ST, CHICAGO, IL 60622-4843
(773) 384-6291
(773) 384-0294

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IL

Other

Enumeration date
07/17/2005
Last updated
07/08/2007
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