Individual
JAY T DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
850 W IRVING PARK RD, OUTPATIENT PHARMACY, CHICAGO, IL 60613-3077
(773) 975-3235
(773) 975-3238
Mailing address
3522 N LEAVITT ST, APT 2, CHICAGO, IL 60618-6016
(630) 310-9598
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.293156
IL
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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