Organization
OMAR PHARMACY INC
Active
Other names
Drug Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HANI ABDALLAH (PHARMACIST IN CHARGE)
(773) 681-0080
Entity
Organization
Contact information
Practice address
4613 N SHERIDAN RD, CHICAGO, IL 60640-5019
(773) 681-0080
(773) 754-7563
Mailing address
4713 N SHERIDAN RD, CHICAGO, IL 60640
(773) 681-0080
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054018853
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157442
PK
—
Enumeration date
12/21/2015
Last updated
04/11/2016
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