Individual
MS. ELWANDA SMITH BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
111 S HALSTED ST, PHARMACY DEPT, CHICAGO, IL 60661-3507
(312) 463-9142
(312) 463-9146
Mailing address
5229 S DORCHESTER AVE, #3, CHICAGO, IL 60615-4196
(773) 667-9109
(773) 677-9782
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051032007
IL
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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