Richard Stanislaus

NPI #1972872380 in Wheeling, Illinois

Provider Information

NPI Number: 1972872380
Entity Type: Individual
Name: Richard Stanislaus
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Dec 14, 2011
Last Updated: Dec 14, 2011

Practice Location

Address: 10 N MILWAUKEE AVE
City: Wheeling
State: Illinois
ZIP Code: 60090-3012
Phone: (847) 331-5063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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