Organization
FIRST FAMILY PHARMACY PLUS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALTAMASH KHAN (STORE MANAGER)
(224) 619-9786
Entity
Organization
Contact information
Practice address
2140 W DEVON AVE STE 1W, CHICAGO, IL 60659-2256
(773) 338-7000
(773) 338-7111
Mailing address
2140 W DEVON AVE STE 1W, CHICAGO, IL 60659-2256
(773) 338-7000
(773) 338-7111
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054.019391
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153019
PK
—
Enumeration date
06/23/2015
Last updated
04/19/2018
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