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MS. SUSAN GRACE SAWA RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1023399953

Individual Registrant:
MS. SUSAN GRACE SAWA RPH
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1 N ELMHURST RD  PROSPECT HTS, IL 60070-1509 US
Tel: 847-398-4673  Fax: --

Contact information for business:
1 N ELMHURST RD  PROSPECT HTS, IL 60070-1509 US
Tel: 847-398-4673  Fax: --

Registration Information:
NPI: 1023399953
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
IL051-035104

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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