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Organization
COMMUNITY PHARMACY OF CHICAGO RIDGE INC
Active
Organization
COMMUNITY PHARMACY OF CHICAGO RIDGE INC
Active
Other names
Community Pharmacy of Chicago Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAWAD H HAMDAN PHARMD (PRESIDENT/PIC)
(708) 229-2100
Entity
Organization
Contact information
Practice address
9830 RIDGELAND AVE, CHICAGO RIDGE, IL 60415-2667
(708) 961-4980
(773) 890-1802
Mailing address
9830 RIDGELAND AVE, CHICAGO RIDGE, IL 60415-2667
(708) 229-2100
(708) 229-2101
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
054-016794
IL
333600000X
Pharmacy
Primary
54-016794
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54-016794
IL DEPT OF FINANCIAL AND PROFESSIONAL REGULATION - PHARMACY LICENSE
IL
Enumeration date
01/21/2010
Last updated
11/22/2020
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