# MARIAM PHARMACY

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

## Provider details

- **NPI number:** 1144564816
- **Authorized official:** ALIA SHAKIR PHARM.D. (PIC/ OWNER)
- **Authorized official phone:** (773) 478-1111

## Contact information

- **Practice address:** 3514 W LAWRENCE AVE, CHICAGO, IL 60625-5612
- **Practice address phone:** (773) 551-5555
- **Mailing address:** 3514 W LAWRENCE AVE, CHICAGO, IL 60625-5612
- **Mailing address phone:** (773) 478-1111
- **Mailing address fax:** (773) 961-7137

## Taxonomy

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

## Other

- **Enumeration date:** 11/20/2012
- **Last updated:** 10/10/2025