Organization
MEXICARE INC
Active
Other names
MexiCare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAWAD HAMDAN PHARMD (PIC/OWNER)
(708) 336-9002
Entity
Organization
Contact information
Practice address
3200 W 26TH ST, CHICAGO, IL 60623-4031
(773) 890-1800
(773) 890-1802
Mailing address
3200 W 26TH ST, CHICAGO, IL 60623-4031
(773) 890-1800
(773) 890-1802
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054016687
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120518
PK
—
Enumeration date
05/20/2009
Last updated
10/02/2023
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