Individual
MR. EDWARD A WOLGEMUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
9424 S PULASKI RD, OAK LAWN, IL 60453-1935
(708) 857-8274
(708) 857-8128
Mailing address
9424 S PULASKI RD, OAK LAWN, IL 60453-1935
(708) 857-8274
(708) 857-8128
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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