Organization
ADVANTAGE PHARMACY INC.
Active
Other names
Advantage Pharmacy Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OM DHINGRA R.PH. (PRESIDENT)
(630) 886-9290
Entity
Organization
Contact information
Practice address
4425 W 95TH ST, OAK LAWN, IL 60453-7222
(708) 529-3326
(708) 529-3532
Mailing address
4425 W 95TH ST, OAK LAWN, IL 60453-7222
(708) 529-3326
(708) 529-3532
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054017774
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1486249
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/01/2011
Last updated
12/06/2012
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