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Organization
PRIME PLUS PHARMACY LLC
Active
Organization
PRIME PLUS PHARMACY LLC
Active
Other names
Prime Plus Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AMRO ATASSI RPH (OWNER, PIC, AO)
(708) 741-7501
Entity
Organization
Contact information
Practice address
2955 W 95TH ST, EVERGREEN PARK, IL 60805-2409
(708) 741-7501
(708) 907-5360
Mailing address
2955 W 95TH ST, EVERGREEN PARK, IL 60805-2409
(708) 741-7501
(708) 907-5360
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
054020162
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166885
PK
—
Enumeration date
12/18/2016
Last updated
10/29/2020
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