Organization
MORTGAGE MGMT SOLUTIONS INC
Active
Other names
STONE MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MATTSON RPH (OWNER)
(773) 929-6555
Entity
Organization
Contact information
Practice address
2800 N SHERIDAN RD, CHICAGO, IL 60657-6156
(773) 929-6555
(773) 929-7065
Mailing address
2800 N SHERIDAN RD, CHICAGO, IL 60657-6156
(773) 929-6555
(773) 929-7065
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054.015154
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018090
PK
—
05
—
363209364
—
IL
Enumeration date
02/02/2007
Last updated
01/28/2015
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