Organization
TARGET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB KIM (HEAD PHARMACIST)
(847) 733-1166
Entity
Organization
Contact information
Practice address
2209 HOWARD ST, EVANSTON, IL 60202-3636
(847) 733-1166
Mailing address
2209 HOWARD ST, EVANSTON, IL 60202-3636
(847) 733-1166
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
049217818
IL
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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