# FRESH FARM PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770742330
- **Authorized official:** MR. ANDY JOHN POLITIS DOCTOR OF PHARMACY (OWNER/PRESIDENT)
- **Authorized official phone:** (847) 663-9832

## Contact information

- **Practice address:** 5740 W TOUHY AVE, NILES, IL 60714-4606
- **Practice address phone:** (847) 663-9832
- **Mailing address:** 8263 W MAYNARD DR, NILES, IL 60714-1024
- **Mailing address phone:** (847) 663-9832

## Taxonomy

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

## Other

- **Enumeration date:** 06/08/2008
- **Last updated:** 06/08/2008