Southgate Pharmacy Inc.

NPI #1578553152 in Homewood, Illinois

Provider Information

NPI Number
1578553152
Entity Type
Organization
Organization Name
Southgate Pharmacy Inc.
Primary Specialty
Pharmacy
Enumeration Date
Oct 25, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
18659 DIXIE HWY
ZIP Code
60430-3728
Phone
(708) 798-2100

Authorized Official

Name
LEONARD J SKONIECKE JR.
Title
MANAGER
Phone
(708) 798-2100

Specialties & Taxonomy Codes

Specialty
Pharmacy

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