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1245703982
LUNA PHARMACY AT MADISON LLC
CHICAGO, IL
NPI
1245703982
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Entity Type
Organization
Authorized Contact
MOHAMMAD KHAMIS
President
773-353-5047
Organization Subpart ?
No
Primary Taxonomy
3336C0003X Pharmacy, Community/Retail Pharmacy
Enumeration Date
2019-01-04
Last Update Date
2019-01-04
Business Address
LUNA PHARMACY AT MADISON LLC
3171 W MADISON ST STE 2
CHICAGO, IL 60612-1809
Phone number: 773-435-9905
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Mailing Address
LUNA PHARMACY AT MADISON LLC
3171 W MADISON ST STE 2
CHICAGO, IL 60612-1809
Phone number: 773-435-9905
Copy
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