Fullerton Kedzie Professional Pharmacy
Community/Retail Pharmacy
3153 W Fullerton Ave, Chicago
Illinois, 60647-2809
773-278-6604 773-395-4633
Fullerton Kedzie Professional Pharmacy is a Community/Retail Pharmacy in Chicago, Illinois. It is located at 3153 W Fullerton Ave, Chicago and it's customer support contact number is 773-278-6604. The authorized person of Fullerton Kedzie Professional Pharmacy is Mr. Ettore Boggetto, RPH who is Pharmacist-in-charge of the pharmacy and his contact number is 773-278-6604. Active license number of Fullerton Kedzie Professional Pharmacy is 054-007134 for Community/Retail Pharmacy in Illinois.
Fullerton Kedzie Professional Pharmacy is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Fullerton Kedzie Professional Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Fullerton Kedzie Professional Pharmacy |
| Type: | Community/Retail Pharmacy |
| Location: | 3153 W Fullerton Ave, Chicago,
Illinois, 60647-2809 |
| Phone: | 773-278-6604 |
| Fax: | 773-395-4633 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Ettore Boggetto |
| Credentials: | RPH |
| Position: | Pharmacist-in-charge |
| Contact Number: | 773-278-6604 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1083005078 |
| NPI Enumeration Date: | 11 Feb, 2015 |
| NPI Last Update On: | 11 Feb, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fullerton Kedzie Professional Pharmacy are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 054-007134 | Illinois | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 355363043002 | Medicaid | Illinois | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3153 W Fullerton Ave,
Chicago, Illinois |
| Zip: | 60647-2809 |
| Phone Number: | 773-278-6604 |
| Fax Number: | 773-395-4633 |
Patients can reach Fullerton Kedzie Professional Pharmacy at
3153 W Fullerton Ave, Chicago, Illinois or can
call on customer care at 773-278-6604.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.