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Individual

MR. ANTHONY ALLEN ALVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
7960 W 159TH ST, ORLAND PARK, IL 60462-5038
(708) 532-7781
Mailing address
20021 SCOTT ST, MOKENA, IL 60448-1625
(708) 479-5733

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.029521
IL

Other

Enumeration date
09/08/2011
Last updated
09/08/2011
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