# MAAR ILLINOIS INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Austin Outpatient Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477953073
- **Authorized official:** RONAK MANEK (PHARMACIST-IN-CHARGE)
- **Authorized official phone:** (630) 747-7495

## Contact information

- **Practice address:** 645 S CENTRAL AVE, CHICAGO, IL 60644-5059
- **Practice address phone:** (773) 854-2500
- **Practice address fax:** (773) 854-2600
- **Mailing address:** 645 S CENTRAL AVE, CHICAGO, IL 60644-5059
- **Mailing address phone:** (773) 854-2500
- **Mailing address fax:** (773) 854-2600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054-018732 | IL | Yes |

## Other

- **Enumeration date:** 09/02/2014
- **Last updated:** 09/02/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2147547 | PK | — |