Texas Jack Monroe, PHARMACIST

NPI #1912278979 in Buffalo Grove, Illinois

Provider Information

NPI Number: 1912278979
Entity Type: Individual
Name: Texas Jack Monroe, PHARMACIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMACIST
Enumeration Date: Jan 23, 2012
Last Updated: Jan 23, 2012

Practice Location

Address: 1160 W LAKE COOK RD
City: Buffalo Grove
State: Illinois
ZIP Code: 60089-1979
Phone: (847) 537-4074

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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