NPI 1104407089

Christian Allen, PHARMD

Practitioner Pharmacist Morton Grove, IL

Practice location

Address: 5945 Dempster St, Morton Grove, IL 60053-3031
Phone: (847) 583-0670
Fax: (847) 583-0793

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 051299699 (IL)

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Registry record

NPI: 1104407089
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Apr 2021
Record last updated: 21 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.