# ETHOS PHARMACY

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

## Provider details

- **NPI number:** 1811523699
- **Authorized official:** LUBNA ABU SAMRA RPH (PHARMACIST)
- **Authorized official phone:** (630) 246-0513

## Contact information

- **Practice address:** 4332 N ELSTON AVE, CHICAGO, IL 60641-2144
- **Practice address phone:** (630) 246-0513
- **Mailing address:** 4332 N ELSTON AVE, CHICAGO, IL 60641-2144

## Taxonomy

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

## Other

- **Enumeration date:** 03/12/2020
- **Last updated:** 03/12/2020