Organization
CHICAGO CONSULTANT PHARMACISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATELYN ANDRESEN PHARM.D., CGP (CLINICAL DIRECTOR)
(312) 788-7633
Entity
Organization
Contact information
Practice address
1110 W 15TH ST UNIT 226, CHICAGO, IL 60608-3195
(312) 788-7633
Mailing address
1110 W 15TH ST UNIT 226, CHICAGO, IL 60608-3195
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
—
1835G0303X
Geriatric Pharmacist
Primary
—
—
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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