Individual
MISS DANIELLE DOHERTY DALICANDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
7124 W HIGGINS AVE, CHICAGO, IL 60656-1904
(773) 631-5333
(772) 732-1402
Mailing address
6024 N WEST CIRCLE AVE, CHICAGO, IL 60631-2414
(773) 792-0026
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
IL
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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