Vine Pharmacy INC

NPI #1952452591 in Chicago, Illinois

Provider Information

NPI Number: 1952452591
Entity Type: Organization
Organization Name: Vine Pharmacy INC
Primary Specialty: Pharmacist
Enumeration Date: Jan 12, 2007
Last Updated: Apr 20, 2008

Practice Location

Address: 8300 S BRANDON AVE
City: Chicago
State: Illinois
ZIP Code: 60617-2655
Phone: (773) 768-6244

Authorized Official

Name: TERRY L GLATZHOFER, RPH
Title: PRESIDENT
Phone: (773) 768-6244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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