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Organization
LIFECARE PHARMACY PLUS LLC
Active
Organization
LIFECARE PHARMACY PLUS LLC
Active
Other names
LIFECARE PHARMACY PLUS
Organization subpart
No
Provider details
NPI number
Authorized official
ALTAMASH KHAN (MANAGER)
(224) 619-9786
Entity
Organization
Contact information
Practice address
1634 ARDMORE AVE, VILLA PARK, IL 60181
(630) 454-0700
Mailing address
1634 ARDMORE AVE, VILLA PARK, IL 60181
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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