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Organization
PHARMACY ONE PLUS
Active
Organization
PHARMACY ONE PLUS
Active
Other names
PHARMACY ONE
Organization subpart
No
Provider details
NPI number
Authorized official
AYMAN ACOMARI (PRESIDENT)
(773) 267-5050
Entity
Organization
Contact information
Practice address
4753 55 N KEDZIE, CHICAGO, IL 60625
(773) 582-2660
(773) 767-3022
Mailing address
4753 55 N KEDZIE, CHICAGO, IL 60625
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1479840
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/10/2006
Last updated
08/22/2020
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