Bryant, Calvin Lee

Bryant, Calvin Lee is an sole proprietor health care provider with primary practice located at 10724 S Drew St , Chicago IL 60643-3424. He recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacotherapy, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Bryant, Calvin Lee can be contacted via phone (773) 266-1116.

Contact Information

Primary practice address
10724 S Drew St Chicago IL 60643-3424
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051034870 Illinois
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 051034870 Illinois
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 051034870 Illinois

Profile Details

NPI number 1487850095
LBN Legal business name Bryant, Calvin Lee
Credentials PHARMACIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2007
Last updated Nov 25th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487850095 NPPES
Illinois Other 051034870 PHARMACIST LICENSE #

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