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Individual

MR. CARSON A BORDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1740 W TAYLOR ST, UIMCC DEPT OF PHARMACY ROOM C-300 M/C 883, CHICAGO, IL 60612-7232
(312) 996-4474
Mailing address
2950 W PALMER ST, #D2, CHICAGO, IL 60647-2975
(312) 996-4474

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IL

Other

Enumeration date
11/01/2006
Last updated
07/08/2007
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