Organization
FIRST FAMILY PHARMACY INC
Active
Other names
FIRST FAMILY PHARMACY, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO VILLASENOR (PHARMACIST)
(773) 338-7000
Entity
Organization
Contact information
Practice address
2140 W DEVON AVE STE 1W, CHICAGO, IL 60659-2256
(773) 338-7000
(773) 338-7111
Mailing address
2140 W DEVON AVE STE 1W, CHICAGO, IL 60659-2256
(773) 338-7000
(773) 338-7111
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054.017335
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2125271
PK
—
Enumeration date
05/26/2010
Last updated
10/15/2014
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