# FIRST FAMILY PHARMACY PLUS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114309465
- **Authorized official:** ALTAMASH KHAN (STORE MANAGER)
- **Authorized official phone:** (224) 619-9786

## Contact information

- **Practice address:** 2140 W DEVON AVE STE 1W, CHICAGO, IL 60659-2256
- **Practice address phone:** (773) 338-7000
- **Practice address fax:** (773) 338-7111
- **Mailing address:** 2140 W DEVON AVE STE 1W, CHICAGO, IL 60659-2256
- **Mailing address phone:** (773) 338-7000
- **Mailing address fax:** (773) 338-7111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054.019391 | IL | Yes |

## Other

- **Enumeration date:** 06/23/2015
- **Last updated:** 04/19/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2153019 | PK | — |