Organization
MYMED PHARMACY INC
Active
Other names
Mymed Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ELZAIBAK (MANAGER)
(708) 576-8580
Entity
Organization
Contact information
Practice address
9838 S ROBERTS RD STE 6, PALOS HILLS, IL 60465-1547
(708) 576-8580
(708) 529-3412
Mailing address
9838 S ROBERTS RD STE 6, PALOS HILLS, IL 60465-1547
(708) 576-8580
(708) 529-3412
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
054019958
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160563
PK
—
Enumeration date
06/10/2016
Last updated
06/16/2016
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