Organization
EXCLUSIVE PHARMACY INC
Active
Other names
Exclusive Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA TORRES (OWNER, PRESIDENT, AO)
(773) 503-1823
Entity
Organization
Contact information
Practice address
6374 N LINCOLN AVE, STE 101, CHICAGO, IL 60659-1275
(773) 262-6800
(773) 564-9717
Mailing address
6374 N LINCOLN AVE, STE 101, CHICAGO, IL 60659-1275
(773) 262-6800
(773) 564-9717
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054019326
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158530
PK
—
Enumeration date
12/31/2015
Last updated
02/21/2017
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