MR. Scott Ellis Diveney, RPH

NPI #1952672537 in Buffalo Grove, Illinois

Provider Information

NPI Number: 1952672537
Entity Type: Individual
Name: MR. Scott Ellis Diveney, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jan 13, 2012
Last Updated: Jan 13, 2012

Practice Location

Address: 1400 E LAKE COOK RD
City: Buffalo Grove
State: Illinois
ZIP Code: 60089-8217
Phone: (224) 676-5370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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