# MFMM INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SOUTH SUBURBAN PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205845898
- **Authorized official:** MARCEL JEAN (OWNER)
- **Authorized official phone:** (708) 798-4300

## Contact information

- **Practice address:** 3330 W 177TH ST, STE 1E, HAZEL CREST, IL 60429-2184
- **Practice address phone:** (708) 798-4300
- **Practice address fax:** (708) 798-4447
- **Mailing address:** 3330 W 177TH ST, STE 1E, HAZEL CREST, IL 60429-2184
- **Mailing address phone:** (708) 798-4300
- **Mailing address fax:** (708) 798-4447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054.015826 | IL | Yes |
| 3336I0012X | Institutional Pharmacy | — | NULL | — |
| 3336M0003X | Managed Care Organization Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 07/12/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2023181 | PK | — |