Individual
CASSANDRA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
6525 W DIVERSEY AVE, T-1924, CHICAGO, IL 60707-2312
(773) 804-3611
Mailing address
6525 W DIVERSEY AVE, T-1924, CHICAGO, IL 60707-2312
(773) 804-3611
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051296189
IL
Other
Enumeration date
09/09/2012
Last updated
11/27/2012
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