# BURBANK PHARMACY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1902388010
- **Authorized official:** DR. MARY HADDADIN (OWNER)
- **Authorized official phone:** (312) 804-9469

## Contact information

- **Practice address:** 4817 W 83RD ST STE 2, BURBANK, IL 60459-2791
- **Practice address phone:** (312) 804-9469
- **Mailing address:** 18210 LA GRANGE RD STE 1, TINLEY PARK, IL 60487-7722
- **Mailing address phone:** (312) 804-9469

## Taxonomy

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

## Other

- **Enumeration date:** 09/05/2018
- **Last updated:** 09/05/2018