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Organization
6 CORNER PHARMACY INC
Active
Organization
6 CORNER PHARMACY INC
Active
Other names
6 CORNER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMEH S ATTIA PHARM-D (PHARMACIST IN CHARGE)
(773) 612-2517
Entity
Organization
Contact information
Practice address
6955 W. NORTH AVE.,, STE. 203, OAK PARK, IL 60302
(708) 667-0525
(708) 667-0531
Mailing address
6955 W. NORTH AVE.,, STE. 203, OAK PARK, IL 60302
(708) 667-0525
(708) 667-0531
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
054.018965
IL
333600000X
Pharmacy
Primary
054.018965
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054.018965
STATE OF ILLINOIS BOARD OF PHARMACY LICENCE
—
01
—
69784283
ARTICLE OF INCORPORATION
IL
Enumeration date
02/05/2015
Last updated
03/13/2019
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