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Organization
TINLEY PARK PHARMACY, INC
Active
Organization
TINLEY PARK PHARMACY, INC
Active
Other names
Tinley Park Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY HADDADIN PHARMD (OWNER)
(312) 804-9469
Entity
Organization
Contact information
Practice address
18210 S. LAGRANGE RD, SUITE 101, TINLEY PARK, IL 60487-7722
(708) 995-7290
(708) 995-7371
Mailing address
18210 S. LAGRANGE RD, SUITE 101, TINLEY PARK, IL 60487-7722
(708) 995-7290
(708) 995-7371
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
054.019388
IL
3336C0003X
Community/Retail Pharmacy
Primary
054.019388
IL
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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