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Organization

FARMACIA DE LAWNDALE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AMY SHAH PHARMD (PHARMACIST-IN-CHARGE)
(773) 542-9595
Entity
Organization

Contact information

Practice address
2621 S LAWNDALE AVE, CHICAGO, IL 60623-4520
(773) 542-9595
(773) 542-9590
Mailing address
2621 S LAWNDALE AVE, CHICAGO, IL 60623-4520
(773) 542-9595
(773) 542-9590

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
051034198
IL
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
02/07/2007
Last updated
05/08/2025
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