Susan Marie Desanto, RPH Valid NPI
Individual provider · Pharmacist · Park Forest, IL
- NPI
- 1831474451
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 051-034388 (IL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2011-10-14
- Last updated
- 2011-10-14
Practice location
15 S Orchard Dr
Park Forest, IL 60466-2096
(708) 481-7878