Organization
MIDWEST PHARMACY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TILAK MARWAHA (SHAREHOLDER)
(773) 275-3769
Entity
Organization
Contact information
Practice address
5470 W MADISON ST, CHICAGO, IL 60644-4031
(773) 379-7773
Mailing address
5470 W MADISON ST, CHICAGO, IL 60644-4031
(773) 379-7773
(773) 379-1020
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/26/2014
Last updated
02/12/2015
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