Individual
MR. DAVIS MARIO POHLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4720 N MARINE DR, CHICAGO, IL 60640-5120
(773) 769-1315
Mailing address
4720 N MARINE DR, CHICAGO, IL 60640-5120
(773) 769-1315
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051300630
IL
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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