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Organization
BURBANK PHARMACY LLC
Active
Organization
BURBANK PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY HADDADIN (OWNER)
(312) 804-9469
Entity
Organization
Contact information
Practice address
4817 W 83RD ST STE 2, BURBANK, IL 60459-2791
(312) 804-9469
Mailing address
18210 LA GRANGE RD STE 1, TINLEY PARK, IL 60487-7722
(312) 804-9469
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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