Most Relevant Information
Provider Data
NPI Number: | 1003284894 |
Provider Name: | TINA V DONTAS RPH |
Entity Type: | Individual |
Taxonomy Code: | 183500000X |
Specialty: | Pharmacist |
License Number: | 051.036362 |
Most Important Dates
Enumeration Date: | 09/10/2015 |
Last Updated: | 09/10/2015 |
Provider Practice Location
13460 S ARCHER AVE
LEMONT
IL
604394755
Practice Location Phone/Fax
Phone: | 6302436518 |
Fax: |
Provider Mailing Location
13460 S ARCHER AVE
LEMONT
IL
604394755
Provider Mailing Phone/Fax
Phone: | 6302436518 |
Fax: |