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Organization
FRESH FARM PHARMACY LLC
Active
Organization
FRESH FARM PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDY JOHN POLITIS DOCTOR OF PHARMACY (OWNER/PRESIDENT)
(847) 663-9832
Entity
Organization
Contact information
Practice address
5740 W TOUHY AVE, NILES, IL 60714-4606
(847) 663-9832
Mailing address
8263 W MAYNARD DR, NILES, IL 60714-1024
(847) 663-9832
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PENDING
IL
Other
Enumeration date
06/08/2008
Last updated
06/08/2008
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