Organization
PILSEN PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ZAVALA PHARMD (OWNER/PHARMACIST)
(773) 531-2058
Entity
Organization
Contact information
Practice address
1868 S BLUE ISLAND AVE, CHICAGO, IL 60608-3013
(312) 993-9500
(312) 993-9501
Mailing address
1868 S BLUE ISLAND AVE, CHICAGO, IL 60608-3013
(312) 993-9500
(312) 993-9501
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
054018154
IL
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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