# LUNA PHARMACY LTD

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

## Provider details

- **NPI number:** 1992049662
- **Authorized official:** MR. AIMAN ALANFOUS (PRESIDENT)
- **Authorized official phone:** (773) 435-9902

## Contact information

- **Practice address:** 5352 N LINCOLN AVE, CHICAGO, IL 60625-2316
- **Practice address phone:** (773) 435-9902
- **Practice address fax:** (773) 435-9003
- **Mailing address:** 5352 N LINCOLN AVE, CHICAGO, IL 60625-2316
- **Mailing address phone:** (773) 435-9902
- **Mailing address fax:** (773) 435-9903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 054.018025 | IL | — |
| 332BC3200X | Customized Equipment (DME) | 054.018025 | IL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 054.018025 | IL | — |
| 333600000X | Pharmacy | 054.018025 | IL | — |
| 3336C0003X | Community/Retail Pharmacy | 054.018025 | IL | Yes |
| 3336C0004X | Compounding Pharmacy | 054.018025 | IL | — |
| 335G00000X | Medical Foods Supplier | 054.018025 | IL | — |

## Other

- **Enumeration date:** 11/19/2012
- **Last updated:** 07/30/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1487594 | NCPDP | IL |