Organization
AL-MACHNEE INC
Active
Other names
Drug Center Pharmacy #102
Organization subpart
No
Provider details
NPI number
Authorized official
IBRAHAIM AL-MACHNEE (PRESIDENT)
(773) 735-9000
Entity
Organization
Contact information
Practice address
7953 S CICERO AVE, CHICAGO, IL 60652-2037
(773) 735-9000
Mailing address
7953 S CICERO AVE, CHICAGO, IL 60652-2037
(773) 735-9000
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054-018854
IL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149502
PK
—
Enumeration date
12/29/2014
Last updated
01/07/2015
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