Organization
KEDVON PHARMACY INC
Active
Other names
Kedvon Health, Inc., KEDVON PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
VLADLENA KOROL PHARMD (OWNER)
(773) 338-7171
Entity
Organization
Contact information
Practice address
62 S MILWAUKEE AVE, WHEELING, IL 60090-3108
(773) 338-7171
(773) 338-7272
Mailing address
62 S MILWAUKEE AVE, WHEELING, IL 60090-3108
(773) 338-7171
(773) 338-7272
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1466831
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/30/2005
Last updated
02/20/2021
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