Kelly Decanio

NPI #1669974309 in Deerfield, Illinois

Provider Information

NPI Number
1669974309
Entity Type
Individual
Name
Kelly Decanio
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Mar 7, 2018
Last Updated
Mar 7, 2018

Practice Location

Address
1435 LAKE COOK RD
ZIP Code
60015-5213
Phone
(847) 687-9974

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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