Organization
GOOD HEALTH PHARMACY
Active
Other names
Good Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
OLUYEMISI IJOSE (PHARMACY MANAGER)
(724) 799-6098
Entity
Organization
Contact information
Practice address
1999 SPRINGBROOK SQUARE DR UNIT 105, NAPERVILLE, IL 60564-5946
(630) 210-8995
Mailing address
3919 CALLANDER CT, NAPERVILLE, IL 60564-8306
(724) 799-6098
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054018782
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151608
PK
—
Enumeration date
04/28/2015
Last updated
04/28/2015
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