47TH AND VICENNES PROFESSIONAL is a clinic pharmacy pharmacy in Chicago, IL. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. 47TH AND VICENNES PROFESSIONAL NPI is 1942416938. The provider is registered as an organization entity type.
The provider's business location address is:
504 E 47TH ST
CHICAGO, IL
ZIP 60653-208
Phone: (773) 624-0613
Fax: (773) 624-0204
The provider's authorized official is Zarooq Sabayo .
The authorized official title is Pharmcist and has the following contact phone number (773) 624-0613.
The enumeration date for this NPI number is 5/15/2007 and was last updated on 6/18/2008.