Organization
OSCO
Active
Parent organization
SAFEWAY
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAFEWAY
Authorized official
MR. DAVID CHWALEK R.PH (HEAD PHARMACIST)
(773) 348-8079
Entity
Organization
Contact information
Practice address
2550 CLYBOURN ST., CHICAGO, IL 60614-1941
(773) 348-8079
(773) 348-8203
Mailing address
6732 HAZEL ST, MORTON GROVE, IL 60053-2358
(847) 967-1382
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
051027181
IL
251B00000X
Case Management Agency
Primary
051027181
IL
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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