# AMALI, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Roseland Pharmacy One
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497084818
- **Authorized official:** FOUAD HALLAK (PRESIDENT)
- **Authorized official phone:** (773) 660-8606

## Contact information

- **Practice address:** 104 WEST 111TH STREET, CHICAGO, IL 60628
- **Practice address phone:** (773) 660-8606
- **Mailing address:** 104 WEST 111TH STREET, CHICAGO, IL 60628
- **Mailing address phone:** (773) 660-8606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054-016478 | IL | Yes |

## Other

- **Enumeration date:** 12/14/2009
- **Last updated:** 12/14/2009