Organization
GILMAN PHARMACY LLC
Active
Parent organization
GILMAN PHARMACY LLC
Other names
Gilman Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
GILMAN PHARMACY LLC
Authorized official
DR. CLARKE KUELTZO PHARMD (PRESIDENT)
(708) 254-0498
Entity
Organization
Contact information
Practice address
1042 S CRESCENT ST, GILMAN, IL 60938-6134
(708) 254-0498
Mailing address
1042 S CRESCENT ST, GILMAN, IL 60938-6134
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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