Organization
ELYSIUM PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALMIRA AHMETOVIC (CEO)
(847) 306-3670
Entity
Organization
Contact information
Practice address
7366 N LINCOLN AVE STE 304, LINCOLNWOOD, IL 60712
(847) 306-3670
Mailing address
7366 N LINCOLN AVE STE 304A, LINCOLNWOOD, IL 60712
(847) 306-3670
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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