Scott Janiczak

NPI #1780097907 in Homer Glen, Illinois

Provider Information

NPI Number: 1780097907
Entity Type: Individual
Name: Scott Janiczak
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jun 5, 2014
Last Updated: Jun 5, 2014

Practice Location

Address: 13840 S TEAKWOOD DR
City: Homer Glen
State: Illinois
ZIP Code: 60491-8694
Phone: (708) 308-6474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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