# LUNA PHARMACY II LLC

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

## Provider details

- **NPI number:** 1124547849
- **Authorized official:** AIMAN ALANFOUS (OWNER)
- **Authorized official phone:** (773) 340-4445

## Contact information

- **Practice address:** 235 W 95TH ST, CHICAGO, IL 60628-1321
- **Practice address phone:** (773) 340-4445
- **Practice address fax:** (773) 340-4446
- **Mailing address:** 5352 N LINCOLN AVE, CHICAGO, IL 60625-2316
- **Mailing address phone:** (773) 340-4445
- **Mailing address fax:** (773) 340-4446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054020336 | IL | Yes |

## Other

- **Enumeration date:** 09/13/2017
- **Last updated:** 09/13/2017