Individual
MR. GARY C BARKAUSKI SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2480 S ROUTE 59, PLAINFIELD, IL 60586-8085
(815) 254-3391
Mailing address
11707 COQUILLE DR, FRANKFORT, IL 60423-7823
(815) 464-8778
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051036279
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051036279
PHARMACIST LICENSE NUMBER
IL
Enumeration date
04/15/2014
Last updated
04/15/2014
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