Organization
PRO-WEST PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD FOX (EXECUTIVE MANAGER)
(847) 673-2424
Entity
Organization
Contact information
Practice address
3861 W WASHINGTON BLVD, CHICAGO, IL 60624-2342
(773) 826-5430
Mailing address
3861 W WASHINGTON BLVD, CHICAGO, IL 60624-2342
(773) 826-5430
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
054-11267
IL
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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