Glen Ellyn Pharmacy INC
NPI #1932207750 in Glen Ellyn, Illinois
Provider Information
- NPI Number
- 1932207750
- Entity Type
- Organization
- Organization Name
- Glen Ellyn Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 486 ROOSEVELT ROAD
- City
- Glen Ellyn
- State
- Illinois
- ZIP Code
- 60137-5611
- Phone
- (630) 469-5200
Authorized Official
- Name
- ROBERT E LISTECKI
- Title
- PHARMACIST
- Phone
- (630) 469-5200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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