Organization
SILVER PHARMACY, INC.
Active
Other names
Silver Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NOURA ALAHMED PHARMD (PRESIDENT)
(815) 800-3100
Entity
Organization
Contact information
Practice address
1890 SILVER CROSS BLVD STE 120, NEW LENOX, IL 60451-9528
(815) 800-3100
(815) 800-3200
Mailing address
2045 W GRAND AVE STE B #94702, CHICAGO, IL 60612
(815) 800-3100
(815) 800-3200
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054022332
STATE BOARD OF PHARMACY LICENSE
IL
Enumeration date
06/03/2022
Last updated
08/18/2022
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