# MILLENIUM PHARMACY LTD

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

## Provider details

- **NPI number:** 1689163503
- **Authorized official:** MR. AHMED MAHAFZAH PHARM.D. (PHARMACIST IN CHARGE/OWBER)
- **Authorized official phone:** (708) 930-5393

## Contact information

- **Practice address:** 10604 SOUTHWEST HIGHWAY, SUITE 102, CHICAGO RIDGE, IL 60415
- **Practice address phone:** (708) 930-5393
- **Practice address fax:** (708) 529-3593
- **Mailing address:** 10604 SOUTHWEST HWY STE 102, CHICAGO RIDGE, IL 60415-2704
- **Mailing address phone:** (708) 930-5393
- **Mailing address fax:** (708) 529-3593

## Taxonomy

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

## Other

- **Enumeration date:** 05/07/2018
- **Last updated:** 04/30/2019