Church St Pharm INC

NPI #1891882080 in Skokie, Illinois

Provider Information

NPI Number
1891882080
Entity Type
Organization
Organization Name
Church St Pharm INC
Primary Specialty
Pharmacy
Enumeration Date
Oct 7, 2006
Last Updated
Oct 28, 2009

Practice Location

Address
9669 KENTON AVE
City
Skokie
ZIP Code
60076-1266
Phone
(847) 674-5882

Authorized Official

Name
MARK JACOBS, RPH
Title
CHIEF PHARMACIST
Phone
(847) 674-5882

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Pharmacy

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