# MEXICARE INC

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

## Provider details

- **NPI number:** 1205061124
- **Authorized official:** JAWAD HAMDAN PHARMD (PIC/OWNER)
- **Authorized official phone:** (708) 336-9002

## Contact information

- **Practice address:** 3200 W 26TH ST, CHICAGO, IL 60623-4031
- **Practice address phone:** (773) 890-1800
- **Practice address fax:** (773) 890-1802
- **Mailing address:** 3200 W 26TH ST, CHICAGO, IL 60623-4031
- **Mailing address phone:** (773) 890-1800
- **Mailing address fax:** (773) 890-1802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054016687 | IL | Yes |

## Other

- **Enumeration date:** 05/20/2009
- **Last updated:** 10/02/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2120518 | PK | — |