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Organization

MEIJER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MOHSEN BAIDOUN PHARMD (STAFF PHARMACIST)
(313) 974-1821
Entity
Organization

Contact information

Practice address
755 E BOUGHTON RD, BOLINGBROOK, IL 60440-2250
(630) 783-5365
Mailing address
2825 GABRIELLA ST, APT 403, DOWNERS GROVE, IL 60515-3888

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
051.295682
IL

Other

Enumeration date
05/05/2014
Last updated
05/05/2014
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