Organization
PRIME PLUS PHARMACY LLC
Active
Other names
Prime Plus Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AMRO ATASSI RPH (OWNER, PIC, AO)
(708) 741-7501
Entity
Organization
Contact information
Practice address
2955 W 95TH ST, EVERGREEN PARK, IL 60805-2409
(708) 741-7501
(708) 907-5360
Mailing address
2955 W 95TH ST, EVERGREEN PARK, IL 60805-2409
(708) 741-7501
(708) 907-5360
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054020162
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166885
PK
—
Enumeration date
12/18/2016
Last updated
10/29/2020
About Stedi
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