Moon Lake Pharmacy, Inc.

NPI #1841293719 in Schaumburg, Illinois

Provider Information

NPI Number
1841293719
Entity Type
Organization
Organization Name
Moon Lake Pharmacy, Inc.
Primary Specialty
Pharmacy
Enumeration Date
May 24, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
1399 W SCHAUMBURG RD
ZIP Code
60194-4134
Phone
(847) 895-3900

Authorized Official

Name
MR. MARC YANOW, R.PH.
Title
PRESIDENT
Phone
(847) 895-3900

Specialties & Taxonomy Codes

Specialty
Pharmacy

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