Most Relevant Information
Provider Data
| NPI Number: | 1003416439 |
| Provider Name: | DENISE VENKETRAMEN DOCTOR OF PHARMACY |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 051292437 |
Most Important Dates
| Enumeration Date: | 10/26/2020 |
| Last Updated: | 10/26/2020 |
Provider Practice Location
939 W MADISON ST APT 310
CHICAGO
IL
606072656
Practice Location Phone/Fax
| Phone: | 3129257532 |
| Fax: |
Provider Mailing Location
939 W MADISON ST APT 310
CHICAGO
IL
606072656
Provider Mailing Phone/Fax
| Phone: | 3129257532 |
| Fax: |