Max, Blake Eddy

Max, Blake Eddy is an sole proprietor health care provider with primary practice located at 2020 W Harrison St , Chicago IL 60612-3741. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Max, Blake Eddy can be contacted via phone (312) 572-4886.

Contact Information

Primary practice address
2020 W Harrison St Chicago IL 60612-3741
Phone: (312) 572-4886
Fax: (312) 572-4890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 051040058 Illinois

Profile Details

NPI number 1841466109
LBN Legal business name Max, Blake Eddy
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2008
Last updated May 6th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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