Organization
OAK STREET PHARMACY
Active
Other names
Oak Street Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HANI ABDALLAH (PHARMACIST)
(872) 215-7111
Entity
Organization
Contact information
Practice address
2850 W 95TH ST STE 100, EVERGREEN PARK, IL 60805-2703
(708) 423-4700
(708) 423-4720
Mailing address
2850 W 95TH ST STE 100, EVERGREEN PARK, IL 60805-2703
(708) 423-4700
(708) 423-4720
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054020267
ILLINOIS PHARMACY LICENSE
IL
Enumeration date
06/05/2017
Last updated
02/06/2025
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