Organization
PHARMA PLUS INC
Active
Other names
Drug Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JALAL MATARIA (PIC/PRESIDENT)
(708) 949-8150
Entity
Organization
Contact information
Practice address
10 ORLAND SQUARE DR STE 102, ORLAND PARK, IL 60462-3207
(708) 949-8150
(708) 949-8047
Mailing address
10 ORLAND SQUARE DR, SUITE 102, ORLAND PARK, IL 60462-3207
(708) 949-8150
(708) 949-8047
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054.017882
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1486629
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/21/2012
Last updated
04/23/2012
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