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Organization
MDS PHARMACY INC
Active
Organization
MDS PHARMACY INC
Active
Other names
MDS PHARMACY INC.
Organization subpart
No
Provider details
NPI number
Authorized official
LIYAQAT SAYEED (PRESIDENT)
(847) 972-2616
Entity
Organization
Contact information
Practice address
7348 LAWNDALE AVE, SKOKIE, IL 60076-4022
(847) 972-2616
(847) 972-2613
Mailing address
7348 LAWNDALE AVE, SKOKIE, IL 60076-4022
(847) 972-2616
(847) 972-2613
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
054017212
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1483394
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/27/2009
Last updated
03/31/2021
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