Organization · NPI-2

5 Cs

Pharmacist · Chicago, IL

NPI number1205354628
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1205354628
Entity type
Organization (NPI-2)
Legal business name
5 Cs
Organization subpart
No
Enumeration date
Sep 6, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist051.287455ILYes

Practice location

10830 S Halsted St
Chicago, IL 60628

Phone 773-468-0223

Mailing address

10830 S Halsted St
Chicago, IL 60628-3126

Phone 773-468-0223

Authorized official

Tiajuana Dixon
Owner
7087047570

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pharmacist providers in Chicago, IL