Organization
WHITING COMMUNITY PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMYRA MUHAMMAD PHARMD (OWNER)
(773) 564-3669
Entity
Organization
Contact information
Practice address
1236 119TH ST, WHITING, IN 46394-1640
(773) 564-3669
Mailing address
505 E HOLLY AVE, MOUNT PROSPECT, IL 60056-2139
(773) 564-3669
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300060477
—
IN
Enumeration date
09/21/2021
Last updated
08/17/2022
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