Individual
JOHN J MUSCOLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5840 W 35TH ST, CICERO, IL 60804-4249
(708) 780-7513
Mailing address
5840 W 35TH ST, CICERO, IL 60804-4249
(708) 780-7513
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.036042
IL
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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