Most Relevant Information
Provider Data
| NPI Number: | 1003409921 |
| Provider Name: | TAMARA BALOGH PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 051295503 |
Most Important Dates
| Enumeration Date: | 02/12/2021 |
| Last Updated: | 03/13/2021 |
Provider Practice Location
300 W BARTLETT AVE
BARTLETT
IL
601034002
Practice Location Phone/Fax
| Phone: | 6308555178 |
| Fax: | 6308555672 |
Provider Mailing Location
300 W BARTLETT AVE
BARTLETT
IL
601034002
Provider Mailing Phone/Fax
| Phone: | 6308555178 |
| Fax: |