Organization
BECKER PROFESSIONAL PHARMACY INC
Active
Other names
BECKER PROFESSIONAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALVIN KLEIN (PRESIDENT)
(273) 561-4486
Entity
Organization
Contact information
Practice address
4744 N WESTERN AVE, CHICAGO, IL 60625-2013
(773) 334-1060
(773) 334-3162
Mailing address
4744 N WESTERN AVE, CHICAGO, IL 60625-2013
(773) 334-1060
(773) 334-3162
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054.004739
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022887
PK
—
Enumeration date
06/26/2006
Last updated
09/14/2016
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