Organization
MAAR PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHENDRA KHATAU RPH (OWNER)
(773) 722-2626
Entity
Organization
Contact information
Practice address
4811 W MADISON ST, CHICAGO, IL 60644-3640
(773) 626-4101
(773) 626-4103
Mailing address
4811 W MADISON ST, CHICAGO, IL 60644-3640
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
54014820
IL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1475412
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/31/2006
Last updated
09/11/2025
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