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Individual

MR. DAREK GREGORY MACIASZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH

Contact information

Practice address
999 N ELMHURST RD, MT PROSPECT, IL 60056-1135
(847) 660-2028
(847) 660-2025
Mailing address
999 N ELMHURST RD, MT PROSPECT, IL 60056-1135
(847) 660-2028
(847) 660-2025

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051288015
IL

Other

Enumeration date
09/30/2011
Last updated
09/30/2011
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