Individual
ALI AHMAD RAFIQUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4433 S PULASKI RD, T-1879, CHICAGO, IL 60632-4010
(773) 579-2121
Mailing address
4433 S PULASKI RD, T-1879, CHICAGO, IL 60632-4010
(773) 579-2121
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051296728
IL
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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