Anjum Kidiwala
Pharmacist in Chicago, IL. Individual provider (NPI-1).
NPI number1164025698
StatusActive
Last updated in NPPESNov 18, 2020
Details
- NPI
- 1164025698
- Entity type
- Individual (NPI-1)
- Name
- Anjum Kidiwala
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 18, 2020
- Certification date
- Nov 18, 2020
- Last updated
- Nov 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 051.293048 | IL | Yes |
Practice location
4800 N Damen AveChicago, IL 60625-1413
Phone 773-907-2010
Mailing address
4800 N Damen AveChicago, IL 60625-1413
Phone 773-907-2010
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