Organization
MTM SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL T MA PHARM.D. (OWNER)
(312) 420-5556
Entity
Organization
Contact information
Practice address
1524 S SANGAMON ST UNIT 512, CHICAGO, IL 60608-2268
(312) 850-2415
(312) 850-2415
Mailing address
1524 S SANGAMON ST UNIT 512, CHICAGO, IL 60608-2268
(312) 850-2415
(312) 850-2415
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
IL
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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