Albert Olugbotemi Dada, PHARMACIST
Pharmacist in Chicago, IL. Individual provider (NPI-1).
NPI number1154771095
StatusActive
Last updated in NPPESJun 21, 2016
Details
- NPI
- 1154771095
- Entity type
- Individual (NPI-1)
- Name
- Albert Olugbotemi Dada
- Credential
- PHARMACIST
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 21, 2016
- Last updated
- Jun 21, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 051032390 | IL | Yes |
Practice location
3752 W 16th StChicago, IL 60623-2028
Phone 773-521-0060 · Fax 773-521-8770
Mailing address
9230 Frances LnOrland Park, IL 60462-4747
Phone 773-521-0060 · Fax 773-521-8770
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