Procare 4268 Yankee, L.l.c.

NPI #1992747505 in Chicago, Illinois

Provider Information

NPI Number: 1992747505
Entity Type: Organization
Organization Name: Procare 4268 Yankee, L.l.c.
Primary Specialty: Pharmacy
Enumeration Date: Jun 11, 2006
Last Updated: Mar 7, 2023

Practice Location

Address: 104 S MICHIGAN AVE
Address 2: SUITE 619
City: Chicago
State: Illinois
ZIP Code: 60603-5902
Phone: (312) 252-7204

Authorized Official

Name: CRISTIANA MAURICIO
Title: MANAGER, PHARMACY ENROLLMENTS
Phone: (401) 765-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy	333600000X	Primary

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