Channahon Ranch Pharmacy INC

NPI #1740211218 in Channahon, Illinois

Provider Information

NPI Number: 1740211218
Entity Type: Organization
Organization Name: Channahon Ranch Pharmacy INC
Primary Specialty: Pharmacist
Enumeration Date: Jul 5, 2006
Last Updated: Jul 17, 2012

Practice Location

Address: 24715 W EAMES ST
City: Channahon
State: Illinois
ZIP Code: 60410-5192
Phone: (815) 467-6090

Authorized Official

Name: MR. LOUIS B KADUCAK
Title: PRESIDENT
Phone: (815) 467-6090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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