Organization
PALCARE INC
Active
Other names
MEXICARE PHARMACY II
Organization subpart
No
Provider details
NPI number
Authorized official
JAWAD HAMDAN (PRESIDENT)
(312) 465-2999
Entity
Organization
Contact information
Practice address
1848 S BLUE ISLAND AVE, CHICAGO, IL 60608-3013
(312) 465-2999
(312) 291-8079
Mailing address
1848 S BLUE ISLAND AVE, CHICAGO, IL 60608-3013
(312) 465-2999
(312) 291-8079
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054.017903
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134885
PK
—
Enumeration date
04/06/2012
Last updated
06/28/2016
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