Individual
MR. JACOB R KALATHIVEETIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS IN PHARMACY
Contact information
Practice address
1926 W 35TH ST, WALGREENS, CHICAGO, IL 60609-1204
(773) 254-5523
(773) 254-9537
Mailing address
1926 W 35TH ST, WALGREENS, CHICAGO, IL 60609-1204
(773) 254-5523
(773) 254-9537
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051030494
IL
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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