Organization
LUNA PHARMACY II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIMAN ALANFOUS (OWNER)
(773) 340-4445
Entity
Organization
Contact information
Practice address
235 W 95TH ST, CHICAGO, IL 60628-1321
(773) 340-4445
(773) 340-4446
Mailing address
5352 N LINCOLN AVE, CHICAGO, IL 60625-2316
(773) 340-4445
(773) 340-4446
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054020336
IL
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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