# MIDWEST PHARMACY SERVICES LLC

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

## Provider details

- **NPI number:** 1831516970
- **Authorized official:** MR. TILAK MARWAHA (SHAREHOLDER)
- **Authorized official phone:** (773) 275-3769

## Contact information

- **Practice address:** 5470 W MADISON ST, CHICAGO, IL 60644-4031
- **Practice address phone:** (773) 379-7773
- **Mailing address:** 5470 W MADISON ST, CHICAGO, IL 60644-4031
- **Mailing address phone:** (773) 379-7773
- **Mailing address fax:** (773) 379-1020

## Taxonomy

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

## Other

- **Enumeration date:** 03/26/2014
- **Last updated:** 02/12/2015