# OAK STREET PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oak Street Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184153157
- **Authorized official:** HANI ABDALLAH (PHARMACIST)
- **Authorized official phone:** (872) 215-7111

## Contact information

- **Practice address:** 2850 W 95TH ST STE 100, EVERGREEN PARK, IL 60805-2703
- **Practice address phone:** (708) 423-4700
- **Practice address fax:** (708) 423-4720
- **Mailing address:** 2850 W 95TH ST STE 100, EVERGREEN PARK, IL 60805-2703
- **Mailing address phone:** (708) 423-4700
- **Mailing address fax:** (708) 423-4720

## Taxonomy

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

## Other

- **Enumeration date:** 06/05/2017
- **Last updated:** 02/06/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 054020267 | ILLINOIS PHARMACY LICENSE | IL |