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Organization

FARMACIA CUATRO INC

Active
Other names
FARMACIA CUATRO INC
Organization subpart
No

Provider details

NPI number
Authorized official
ARNOLD EINBINDER (PRESIDENT)
(773) 252-6003
Entity
Organization

Contact information

Practice address
4937 W FULLERTON AVE, CHICAGO, IL 60639-2505
(773) 637-8010
(773) 637-8033
Mailing address
4937 W FULLERTON AVE, CHICAGO, IL 60639-2505
(773) 637-8010
(773) 637-8033

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
05414652
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2021041
PK
Enumeration date
08/31/2006
Last updated
05/18/2016
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