Organization
TINLEY PARK PHARMACY, INC
Active
Other names
Tinley Park Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY HADDADIN PHARMD (OWNER)
(312) 804-9469
Entity
Organization
Contact information
Practice address
18210 S. LAGRANGE RD, SUITE 101, TINLEY PARK, IL 60487-7722
(708) 995-7290
(708) 995-7371
Mailing address
18210 S. LAGRANGE RD, SUITE 101, TINLEY PARK, IL 60487-7722
(708) 995-7290
(708) 995-7371
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
054.019388
IL
3336C0003X
Community/Retail Pharmacy
Primary
054.019388
IL
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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