| NPI | 1003289281 |
|---|---|
| Doing Business As | TINLEY PARK APOTHECARY |
| Entity Type | Organization |
| Authorized Contact | OMAR HASSAD Owner 708-778-3669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054019529) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-23 |