# OMAR PHARMACY INC

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

## Provider details

- **NPI number:** 1285099002
- **Authorized official:** HANI ABDALLAH (PHARMACIST IN CHARGE)
- **Authorized official phone:** (773) 681-0080

## Contact information

- **Practice address:** 4613 N SHERIDAN RD, CHICAGO, IL 60640-5019
- **Practice address phone:** (773) 681-0080
- **Practice address fax:** (773) 754-7563
- **Mailing address:** 4713 N SHERIDAN RD, CHICAGO, IL 60640
- **Mailing address phone:** (773) 681-0080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054018853 | IL | Yes |

## Other

- **Enumeration date:** 12/21/2015
- **Last updated:** 04/11/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2157442 | PK | — |