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Organization
TINLEY PARK APOTHECARY LLC
Active
Organization
TINLEY PARK APOTHECARY LLC
Active
Other names
Tinley Park Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR HASSAD (OWNER)
(708) 778-3669
Entity
Organization
Contact information
Practice address
17320 OAK PARK AVE, TINLEY PARK, IL 60477-3404
(708) 778-3669
(708) 778-3229
Mailing address
17320 OAK PARK AVE, TINLEY PARK, IL 60477-3404
(708) 778-3669
(708) 778-3229
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
054019529
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100328928100
—
IL
01
—
2155126
PK
—
Enumeration date
11/10/2015
Last updated
06/19/2025
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