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Organization
ADVANTAGE PHARMACY INC.
Active
Organization
ADVANTAGE PHARMACY INC.
Active
Other names
Advantage Pharmacy Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OM DHINGRA R.PH. (PRESIDENT)
(630) 886-9290
Entity
Organization
Contact information
Practice address
4425 W 95TH ST, OAK LAWN, IL 60453-7222
(708) 529-3326
(708) 529-3532
Mailing address
4425 W 95TH ST, OAK LAWN, IL 60453-7222
(708) 529-3326
(708) 529-3532
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054017774
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1486249
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/01/2011
Last updated
12/06/2012
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