Organization
TINLEY PARK APOTHECARY LLC
Active
Other names
Tinley Park Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR HASSAD (OWNER)
(708) 778-3669
Entity
Organization
Contact information
Practice address
17320 OAK PARK AVE, TINLEY PARK, IL 60477-3404
(708) 778-3669
(708) 778-3229
Mailing address
17320 OAK PARK AVE, TINLEY PARK, IL 60477-3404
(708) 778-3669
(708) 778-3229
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054019529
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100328928100
—
IL
01
—
2155126
PK
—
Enumeration date
11/10/2015
Last updated
06/19/2025
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